Individual provider Active NPI

Vikram Manilal Patel, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1811073422
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD037437 Issued in PA
Practice address
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone
(215) 291-3000
NPI assigned
Oct 27, 2006
Last updated
Mar 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD037437 PA Primary

Addresses

Primary practice location

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Mailing address

1428 Village Greene Blvd
Bensalem, PA 19020-3677
Phone (215) 639-2972

Other identifiers 8

IdentifierTypeStateIssuer
1280437MedicaidPA
P00774663OtherPARR MEDICARE - BUCKS
P00789459OtherPARR MEDICARE
100746243 0004MedicaidPA
30060281OtherPAKEYSTONE MERCY
0739380000OtherPAKEYSTONE HEALTH PLAN EAST
544102OtherPAHIGHMARK BLUE SHIELD
30060281OtherPAKEYSTONE MERCY-LOWER BUCKS GROUP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000186 PA Practitioner - Internal Medicine 0042367005 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037437PAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercer Bucks Medical Associates, P.C. CurrentSince Apr 1, 2018 Accepting new patients
Bristol Health & Rehab Center, LLC Past Accepting new patients
Tower Leasing Co., LLC Past Accepting new patients

Locations

445 Whitehorse Ave
Ste 101
Trenton, NJ 08610

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

1411 Woodbourne Rd
Ste A2
Levittown, PA 19057

251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1811073422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 VILLAGE GREENE BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203677",
            "telephone_number": "215-639-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344427",
            "telephone_number": "215-291-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIKRAM",
        "middle_name": "MANILAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD037437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1280437",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - BUCKS",
            "identifier": "P00774663",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00789459",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746243  0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30060281",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0739380000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "544102",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY-LOWER BUCKS GROUP",
            "identifier": "30060281",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.