Active NPI
Pratik Shailesh Patel, D.O.
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- OS019389
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140 - Phone
- (215) 707-7237
- Fax
- (215) 707-9389
- NPI assigned
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | OS019389 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-7237
Other practice location 1
333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 728-3883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rowan University School of Osteopathic Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 258-3480
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700
863 N Main St Ext
Wallingford, CT 06492-2434
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holyoke Medical Center, Inc. | Current | Accepting new patients | |
| Chelmsford MRI, P.C. | Current | Accepting new patients | |
| Diagnostic Imaging Services of CT, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Midstate Radiology Associates, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Meriden Imaging Center, Inc. | Vascular & Interventional Radiology | Current | Accepting new patients |
| Chelmsford MRI, P.C. | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595
85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
863 N Main Street Ext
Wallingford, CT 06492
1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844
200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600
575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000
2365 Heritage Center Dr
Furlong, PA 18925
Phone (215) 728-3883
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000
11000 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 214-6655
Interoperability endpoints
- pratik.patel@xdr.hhchealthdirect.org
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Wallingford, CT
- NPI 1508812561
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Meriden, CT
- NPI 1578518999
Vascular & Interventional Radiology
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Diagnostic Radiology Physician
- Dedham, MA
- NPI 1386662112
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1821435553
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1093760431
Vascular & Interventional Radiology
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Rheumatology Physician
- Philadelphia, PA
- NPI 1811470271
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1821356122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-7237",
"fax_number": "215-707-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-707-7237",
"fax_number": "215-707-9389"
}
],
"practiceLocations": [
{
"address_1": "333 Cottman Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112497",
"country_code": "US",
"telephone_number": "215-728-3883",
"fax_number": "215-728-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIK",
"middle_name": "SHAILESH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "OS019389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.