Active NPI
Nimish D Patel, M.D.
- Internal Medicine Physician
- Coudersport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD437330
- Practice address
- 1001 E 2ND St
Coudersport, PA 16915-8161 - Phone
- (814) 274-9300
- NPI assigned
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD437330 | PA | Primary |
| Internal Medicine Physician | 207R00000X | MT187205 | PA |
Addresses
Primary practice location
1001 E 2ND St
Coudersport, PA 16915-8161
Mailing address
4521 Barnsleigh Dr
Bensalem, PA 19020-7824
Phone (215) 750-6627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- George Washington University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone (215) 743-1400
Hospital & facility affiliations
- Jefferson Health- Northeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT187205 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Internal Medicine | Current | Accepting new patients |
| Aria Health Physician Services | Current | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Charles Cole Memorial Hospital D/B/a Upmc Cole | Past | Accepting new patients |
Locations
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610
10800 Knights Rd
Fl 3
Philadelphia, PA 19114
Phone (215) 890-3030
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1346275526
Internal Medicine
-
- Dentist
- Coudersport, PA
- NPI 1548618853
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1801057641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 BARNSLEIGH DR",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190207824",
"telephone_number": "215-750-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161",
"telephone_number": "814-274-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIMISH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD437330",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT187205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coudersport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.