Active NPI
Chetankumar B Patel, M.D.
- Ophthalmology Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 64822
- Practice address
- 7101 Guilford Dr
Suite 201
Frederick, MD 21704-5193 - Phone
- (301) 662-2775
- Fax
- (301) 662-2776
- NPI assigned
- Aug 12, 2005
- Last updated
- May 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 64822 | MD | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 64822 | MD |
Addresses
Primary practice location
7101 Guilford Dr
Suite 201
Frederick, MD 21704-5193
Mailing address
7101 Guilford Dr
Suite 201
Frederick, MD 21704-5193
Phone (301) 662-2775
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440115 | Medicaid | IA | |
| 36448 | Other | IA | WELLMARK BC/BS |
| 012122300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, DC
- 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
- Ophthalmology
- Education
- University of Florida College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Expedition TRL
Suite 102
Gettysburg, PA 17325-8599
Phone (717) 334-9006
46 W Gude Dr
Rockville, MD 20850-1150
Phone (301) 662-2775
7101 Guilford Dr
Suite 201
Frederick, MD 21704-5217
Phone (301) 662-2775
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64822 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C B Patel, MD, PA | Ophthalmology | Current | Accepting new patients |
| Cumberland Valley Retina Consultants PC | Ophthalmology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Cumberland Valley Retina Consultants PC | Retina Specialist | Past | Accepting new patients |
Locations
7101 Guilford Dr
Ste 201
Frederick, MD 21704
Phone (240) 463-7724
46 W Gude Dr
Rockville, MD 20850
Phone (240) 750-6170
20 Expedition Trl
Ste 102
Gettysburg, PA 17325
Phone (717) 334-4033
Interoperability endpoints
- chet.patel.p1@direct.greaterpotomacretina.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
dba Mid-Atlantic Retina Center
- Ophthalmology Physician
- Frederick, MD
- NPI 1811165640
DC, PA
-
- Retina Specialist (Ophthalmology) Physician
- Hagerstown, MD
- NPI 1467429647
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Retina Specialist (Ophthalmology) Physician
- Chambersburg, PA
- NPI 1699566059
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1851393466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 GUILFORD DR",
"address_2": "SUITE 201",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045193",
"telephone_number": "301-662-2775",
"fax_number": "301-662-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 GUILFORD DR",
"address_2": "SUITE 201",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045193",
"telephone_number": "301-662-2775",
"fax_number": "301-662-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHETANKUMAR",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "64822",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MD",
"license": "64822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440115",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "36448",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012122300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.