Active NPI
Ketaki A Patel, M.D.
- Internal Medicine Physician
- Auburn, MA
National Provider Identifier
1801879846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R8961
- Practice address
- 103 Millbury St
Auburn, MA 01501-3205 - Phone
- (508) 721-4100
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- 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 | R8961 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 217080 | MA |
Addresses
Primary practice location
103 Millbury St
Auburn, MA 01501-3205
Mailing address
25282 Northwest Fwy Ste 200
Cypress, TX 77429-1083
Phone (281) 737-2165
Other practice location 1
25282 Northwest Fwy Ste 200
Cypress, TX 77429-1083
Phone (281) 737-2165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010402 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- Tufts University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25282 Northwest Fwy 200
Houston Methodist Primary Care Group
Cypress, TX 77429-1083
Phone (281) 737-2165
Hospital & facility affiliations
- Phoenix Healthcare Services, Inc
- Houston Methodist Cypress Hospital
- Houston Methodist Willowbrook Hospital
- Houston Methodist West Hospital
- Houston Methodist Hospital
- Tops Surgical Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217080 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Internal Medicine | Current | Accepting new patients |
Locations
25282 Northwest Fwy
Ste 200
Cypress, TX 77429
Phone (281) 737-2165
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- kpatel217807@directhoustonmethodist.org
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1083937593
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- Home Health Agency
- Houston, TX
- NPI 1558456624
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
-
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1801879846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25282 NORTHWEST FWY STE 200",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291083",
"telephone_number": "281-737-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MILLBURY ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015013205",
"telephone_number": "508-721-4100"
}
],
"practiceLocations": [
{
"address_1": "25282 Northwest Fwy Ste 200",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774291083",
"country_code": "US",
"telephone_number": "281-737-2165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KETAKI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R8961",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "217080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2010402",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.