Individual provider Active NPI

Nikita Patel, M.D.

  • Pediatrics Physician
  • Arlington, TX
National Provider Identifier
1790199735
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R5915 Issued in TX
Practice address
1915 E Mayfield Rd Ste 115
Arlington, TX 76014-2605
Phone
(682) 276-6700
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R5915 TX Primary

Addresses

Primary practice location

1915 E Mayfield Rd Ste 115
Arlington, TX 76014-2605

Mailing address

1915 E Mayfield Rd Ste 115
Arlington, TX 76014-2605
Phone (682) 276-6700

Other practice location 1

30 Medical Center Blvd
Pob 1, Suite 205, Crozer Pediatrics
Chester, PA 19013-3955
Phone (610) 619-7470

Other practice location 2

30 Medical Center Blvd
Pob 1, Suite 205, Crozer Pediatrics
Chester, PA 19013-3955
Phone (610) 619-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5915TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790199735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E MAYFIELD RD STE 115",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142605",
            "telephone_number": "682-276-6700",
            "fax_number": "682-276-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 E MAYFIELD RD STE 115",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142605",
            "telephone_number": "682-276-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Medical Center Blvd",
            "address_2": "POB 1, SUITE 205, CROZER PEDIATRICS",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133955",
            "country_code": "US",
            "telephone_number": "610-619-7470",
            "fax_number": "610-876-8483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Medical Center Blvd",
            "address_2": "POB 1, SUITE 205, CROZER PEDIATRICS",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133955",
            "country_code": "US",
            "telephone_number": "610-619-7470",
            "fax_number": "610-876-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.