Active NPI
Vikram Manilal Patel, M.D
- Geriatric Medicine (Family Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD037437
- Practice address
- 2301 E Allegheny Ave
Philadelphia, PA 19134-4427 - Phone
- (215) 291-3000
- NPI assigned
- Oct 27, 2006
- Last updated
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1280437 | Medicaid | PA | |
| P00774663 | Other | PA | RR MEDICARE - BUCKS |
| P00789459 | Other | PA | RR MEDICARE |
| 100746243 0004 | Medicaid | PA | |
| 30060281 | Other | PA | KEYSTONE MERCY |
| 0739380000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 544102 | Other | PA | HIGHMARK BLUE SHIELD |
| 30060281 | Other | PA | KEYSTONE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037437 | PA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Docs LLC | Current | Accepting new patients | |
| Mercer Bucks Medical Associates, P.C. | Current | 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.
-
- Internal Medicine Physician
- Levittown, PA
- NPI 1952485971
-
- Skilled Nursing Facility
- Bristol, PA
- NPI 1083592794
-
dba Silver Lake Healthcare Center
- Skilled Nursing Facility
- Bristol, PA
- NPI 1396338984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.