Individual provider Active NPI

Taral Niraj Patel

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1790419364
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG0003909 Issued in PA
Practice address
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone
(215) 276-6000
Fax
(215) 276-1329
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG0003909 PA Primary

Addresses

Primary practice location

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Mailing address

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Other practice location 1

7630 Germantown Ave
Philadelphia, PA 19118-3529
Phone (215) 276-6000

Other identifiers 1

IdentifierTypeStateIssuer
OEG003909OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712002569 AZ Practitioner - Optometry 3779967062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

6135 N 35TH Ave
139 NW Vision Ctr
Phoenix, AZ 85017-1953
Phone (602) 973-5868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG0003909PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Dec 21, 2023 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Nov 7, 2024 Accepting new patients
Carlos L Grandela O.D. PLC CurrentSince Aug 15, 2023 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Nov 7, 2024 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations (25 of 60)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

115 E Williams Field Rd
Gilbert, AZ 85295

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

1240 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 761-2930

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

1240 W Southern Ave
Ste 101
Mesa, AZ 85202
Phone (480) 655-0741

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz
  • Direct secure messaging: dr.taral.patel@direct.eyecare-partners.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1790419364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 Germantown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183529",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TARAL",
        "middle_name": "NIRAJ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG0003909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OEG003909",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.