Individual provider Active NPI

Vivek A Patil, M.D.

  • Colon & Rectal Surgery Physician
  • Bethesda, MD
National Provider Identifier
1790942852
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
D68027 Issued in MD
Practice address
6420 Rockledge Dr
Suite 2200
Bethesda, MD 20817-7837
Phone
(301) 897-8650
Fax
(301) 530-6810
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0068027 MD
Colon & Rectal Surgery Physician 208C00000X D68027 MD Primary

Addresses

Primary practice location

6420 Rockledge Dr
Suite 2200
Bethesda, MD 20817-7837

Mailing address

PO Box 791372
Baltimore, MD 21279-1372

Other identifiers 2

IdentifierTypeStateIssuer
415096100MedicaidMD
416193900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081027000135 DC Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5294893863 Reassigns benefits to 1 organization
I20190308000004 MD Practitioner - Hematology/Oncology 5294893863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite G020
Columbia, MD 21044-3257
Phone (410) 964-2218

11886 Healing Way
Silver Spring, MD 20904-7917
Phone (301) 933-3216

6420 Rockledge Dr
Suite 4200
Bethesda, MD 20817-7847
Phone (301) 929-0765

7350 Van Dusen Rd
Suite 370
Laurel, MD 20707-5231
Phone (301) 982-9800

9905 Medical Ctr Dr
Rockville, MD 20850-6535

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068027MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology, P.a. CurrentSince Jan 1, 2015 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Jan 1, 2015 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Jan 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

6420 Rockledge Dr
Ste 2200
Bethesda, MD 20817
Phone (301) 530-3220

6420 Rockledge Dr
Ste 4200
Bethesda, MD 20817
Phone (301) 564-5000

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

12200 Annapolis Rd
Ste 118
Glenn Dale, MD 20769
Phone (410) 897-6200

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

9905 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 424-6231

9905 Medical Center Dr
Ste 330
Rockville, MD 20850
Phone (240) 238-3566

Interoperability endpoints

  • Direct secure messaging: vivek.patil@mdonc.ikm.direct-ci.com

Organizations & group practices 5

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 3

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1790942852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791372",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 2200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "301-897-8650",
            "fax_number": "301-530-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "VIVEK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0068027",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D68027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415096100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416193900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.