Suketu I Patel, M.D,, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13683 Issued in MD

Practice address

1715 Frederick St
Cumberland, MD 21502-1037

Phone

(301) 722-3205

Fax

(301) 722-3207

NPI assigned

Mar 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Institute of Facial & Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Leesburg, VA
  • NPI 1225305766
  NPD (past) Authorized official

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1821112723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021037",
            "telephone_number": "301-722-3205",
            "fax_number": "301-722-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021037",
            "telephone_number": "301-722-3205",
            "fax_number": "301-722-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUKETU",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D,, D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411283",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0101238043",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eugene Parsons, LCPC
• Sarah Megan Parsons, OTR/L
• Shayna Parsons
• Partners Medical Group LLC
• Syed Bilal Pasha
• Deborah Patterson, LPN
• Paul E. Lin and Associates
• Mevla Paunovic
• Peak Performance Orthopedics, Inc
• William Lee Pearson, RPH

• Oral and Maxillofacial Surgery (Dentist) in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.