Individual provider Active NPI

Chetankumar B Patel, M.D.

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1851393466
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
64822 Issued in MD
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0440115MedicaidIA
36448OtherIAWELLMARK BC/BS
012122300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061102000031 PA Practitioner - Ophthalmology 5193703601 Reassigns benefits to 1 organization
I20061204000045 MD Practitioner - Ophthalmology 5193703601 Reassigns benefits to 1 organization
I20170727003854 DC Practitioner - Ophthalmology 5193703601 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64822MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C B Patel, MD, PA Ophthalmology CurrentSince Aug 23, 2006 Accepting new patients
Cumberland Valley Retina Consultants PC Ophthalmology PastSince Jul 31, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cumberland Valley Retina Consultants PC Retina Specialist PastSince May 18, 2025 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

  • Direct secure messaging: chet.patel.p1@direct.greaterpotomacretina.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.