NPIMap

Individual provider Active NPI

Sanjiv A Patel, MD

  • Family Medicine Physician
  • Binghamton, NY
National Provider Identifier
1861564999
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215914 Issued in NY
Practice address
1130 Upper Front St
Binghamton, NY 13905-1118
Phone
(607) 772-2995
Fax
(607) 771-6594
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 215914 NY Primary

Addresses

Primary practice location

1130 Upper Front St
Binghamton, NY 13905-1118

Mailing address

1130 Upper Front St
Binghamton, NY 13905-1118
Phone (607) 772-2995

Other identifiers 1

IdentifierTypeStateIssuer
02000017MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000581 NY Practitioner - Family Practice 4880687516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1130 Upper Fron St
Binghamton, NY 13901-1118
Phone (607) 772-2995

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Oct 4, 1999 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Oct 4, 1999 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Family Medicine Current Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

1130 Upper Front St
Binghamton, NY 13905
Phone (607) 772-1995

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

501 Reynolds Rd
Johnson City, NY 13790
Phone (607) 797-6071

Interoperability endpoints

  • Direct secure messaging: spatel187990@direct-guthrie.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Our Lady of Lourdes Memorial Hospital IncBinghamton, NY, CCN 330011 Hospital W-2 Managing Employee Oct 1, 1999
The Hospice at LourdesVestal, NY, CCN 331505 Hospice W-2 Managing Employee Oct 1, 1999

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861564999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 UPPER FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051118",
            "telephone_number": "607-772-2995",
            "fax_number": "607-771-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 UPPER FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051118",
            "telephone_number": "607-772-2995",
            "fax_number": "607-771-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJIV",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02000017",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.