Individual provider Active NPI

Khyati Patel, M.D.

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1780992628
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301094514 Issued in MI
Practice address
26850 Providence Pkwy Ste 420
Novi, MI 48374
Phone
(248) 962-3225
Fax
(866) 667-9703
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301094514 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 420
Novi, MI 48374

Mailing address

26850 Providence Pkwy Ste 420
Novi, MI 48374-1263
Phone (248) 667-3225

Other practice location 1

3990 John R St
Detroit, MI 48201-2018
Phone (734) 464-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209000471 MI Practitioner - Internal Medicine 8820225352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26850 Providence Pkwy
Suite 420
Novi, MI 48374-1263
Phone (248) 962-3225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BN Nandish MD PC Inc Internal Medicine CurrentSince Jan 13, 2020 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

14555 Levan Rd
Ste 308
Livonia, MI 48154
Phone (734) 288-3370

29667 Wentworth St
Livonia, MI 48154
Phone (734) 261-9000

Interoperability endpoints

  • Direct secure messaging: kpatel502227@direct.hfhs.org
  • Direct secure messaging: rivimedical.khyatipatel@139108.advancedmd-direct.com
  • Direct secure messaging: kapatel@direct.dmc.org
  • Direct secure messaging: kpatel1144027@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1780992628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 420",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741263",
            "telephone_number": "248-667-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 420",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48374",
            "telephone_number": "248-962-3225",
            "fax_number": "866-667-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHYATI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.