Individual provider Active NPI

Priti Babubhai Patel, NP

  • Acute Care Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1851013189
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71013033A Issued in IN
Practice address
1119 Keystone Way Ste 117C
Carmel, IN 46032-3356
Phone
(317) 214-2100
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71013033A IN Primary

Addresses

Primary practice location

1119 Keystone Way Ste 117C
Carmel, IN 46032-3356

Mailing address

10077 Pepper Tree LN
Noblesville, IN 46060-1284
Phone (850) 319-4355

Other practice location 1

10077 Pepper Tree Ln
Noblesville, IN 46060-1284
Phone (850) 319-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001385 IN Practitioner - Nurse Practitioner 7214312701 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71013033AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC CurrentSince Jul 1, 2023 Accepting new patients
Transcendent Physiatry and Rehabilitation LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613

4807 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 243-7727

1051 Cumberland Ave
West Lafayette, IN 47906
Phone (765) 463-2571

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1851013189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10077 PEPPER TREE LN",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601284",
            "telephone_number": "850-319-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 KEYSTONE WAY STE 117C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323356",
            "telephone_number": "317-214-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10077 Pepper Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601284",
            "country_code": "US",
            "telephone_number": "850-319-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITI",
        "middle_name": "BABUBHAI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71013033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.