Active NPI
Sanjay H Patel, D.O.
- Pediatrics Physician
- Midland, TX
National Provider Identifier
1821244286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P0468
- Practice address
- 302 Secor St
Gupta and Gupta Pediatrics MD PA
Midland, TX 79701-6343 - Phone
- (432) 685-5029
- NPI assigned
- Aug 15, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P0468 | TX | Primary |
Addresses
Primary practice location
302 Secor St
Gupta and Gupta Pediatrics MD PA
Midland, TX 79701-6343
Mailing address
4001 Faudree Rd
Tuscany Apt F-301
Odessa, TX 79765-8620
Phone (347) 987-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0468 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gupta and Gupta Pediatrics MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sanjay.patel.1@16819.direct.athenahealth.com
- https://api.platform.athenahealth.com/16819/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1821244286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 FAUDREE RD",
"address_2": "TUSCANY APT F-301",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658620",
"telephone_number": "347-987-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 SECOR ST",
"address_2": "GUPTA AND GUPTA PEDIATRICS MD PA",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016343",
"telephone_number": "432-685-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SANJAY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-15",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P0468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.