Individual provider Active NPI

Sanjay H Patel, D.O.

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1821244286
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P0468 Issued in TX
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

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P0468TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gupta and Gupta Pediatrics MD PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sanjay.patel.1@16819.direct.athenahealth.com
  • FHIR API: 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.

Verify at the official NPI Registry.