Individual provider Active NPI

Heena N Patel, PA-C

  • Physician Assistant
  • Redmond, WA
National Provider Identifier
1821640491
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60945146 Issued in WA
Practice address
2217 152ND Ave NE Ste 100
Redmond, WA 98052
Phone
(916) 752-8237
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60945146 WA Primary

Addresses

Primary practice location

2217 152ND Ave NE Ste 100
Redmond, WA 98052

Mailing address

2217 152ND Ave NE Ste 100
Redmond, WA 98052-5519
Phone (916) 752-8237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119002319 WA Practitioner - Internal Medicine 4587096102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gurinder P Sahi MD PSGroup PAC ID 5496753790, 4 clinicians

Practice addresses (Care Compare)

2217 152ND Ave NE
Suite 100
Redmond, WA 98052-5519
Phone (425) 825-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60945146WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gurinder P Sahi MD PS CurrentSince Sep 21, 2019 Accepting new patients

Locations

2217 152nd Ave NE
#100
Redmond, WA 98052
Phone (425) 825-3900

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1821640491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 152ND AVE NE STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525519",
            "telephone_number": "916-752-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 152ND AVE NE STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "916-752-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HEENA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60945146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.