Individual provider Active NPI

Niyati Patel, M.D.

  • Internal Medicine Physician
  • Hobbs, NM
National Provider Identifier
1811317894
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1.054604 Issued in CT
Practice address
5320 N Lovington Hwy
Hobbs, NM 88240
Phone
(575) 392-1973
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1.054604 CT Primary

Addresses

Primary practice location

5320 N Lovington Hwy
Hobbs, NM 88240

Mailing address

5320 N Lovington Hwy
Hobbs, NM 88240-9139

Other practice location 1

34 maple street
Department of Medicine
norwalk, CT 06850-3628
Phone (203) 852-2000

Other practice location 2

34 maple street
Department of Medicine
norwalk, CT 06850-3628
Phone (203) 852-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20160617000882 NM Practitioner - Internal Medicine 5799085270 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1.054604CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jan 11, 2021 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jan 11, 2021 Accepting new patients

Locations

4420 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 727-6300

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1811317894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "575-392-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 maple street",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "norwalk",
            "state": "CT",
            "postal_code": "068503628",
            "country_code": "US",
            "telephone_number": "203-852-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 maple street",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "norwalk",
            "state": "CT",
            "postal_code": "068503628",
            "country_code": "US",
            "telephone_number": "203-852-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIYATI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "1.054604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.