NPIMap

Individual provider Active NPI

Vasant R Patel, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • North Reading, MA
National Provider Identifier
1811900442
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
156535 Issued in MA
Practice address
21 Main St
Suite 3C
North Reading, MA 01864-2286
Phone
(978) 664-4600
Fax
(978) 664-2715
NPI assigned
Aug 14, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 156535 MA Primary

Addresses

Primary practice location

21 Main St
Suite 3C
North Reading, MA 01864-2286

Mailing address

21 Main St
Suite 2a
North Reading, MA 01864-2286
Phone (978) 664-4600

Other identifiers 4

IdentifierTypeStateIssuer
739557OtherMATUFTS
3198898MedicaidMA
J21478OtherBCBS
69410OtherMAHPHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000345 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2567565930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Main St
Suite 3a
North Reading, MA 01864-2286
Phone (978) 488-1001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Primary Care PLLC Geriatric Medicine CurrentSince Jul 22, 2021 Accepting new patients
Winchester Physician Associates, Inc Past Accepting new patients
Winchester Physician Associates Past Accepting new patients

Locations

21 Main St
Ste 2A
North Reading, MA 01864
Phone (978) 664-4600

21 Main St
Ste 3A
North Reading, MA 01864
Phone (978) 276-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25226/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vasant.patel.1@25226.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brookhaven Hospice LLCMarlborough, MA, CCN 221586 Hospice Contracted Managing Employee Mar 1, 2019
Serenity Hospice LLCSouthborough, MA, CCN 221589 Hospice Contracted Managing Employee Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1811900442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642286",
            "telephone_number": "978-664-4600",
            "fax_number": "978-664-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "SUITE 3C",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642286",
            "telephone_number": "978-664-4600",
            "fax_number": "978-664-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VASANT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "156535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "739557",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3198898",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J21478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "69410",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

Verify at the official NPI Registry.