Individual provider Active NPI

Tushar C Patel, MD

  • Family Medicine Physician
  • New Bedford, MA
National Provider Identifier
1861566606
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51540 Issued in MA
Practice address
1155 Purchase St
New Bedford, MA 02740
Phone
(508) 997-2900
Fax
(508) 991-4432
NPI assigned
Nov 20, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51540 MA Primary
General Practice Physician 208D00000X 51540 MA

Addresses

Primary practice location

1155 Purchase St
New Bedford, MA 02740

Mailing address

459 Plymouth Ave
Fall River, MA 02721
Phone (508) 679-0010

Other identifiers 2

IdentifierTypeStateIssuer
PAJ05167OtherMABLUE SHIELD
274212OtherRIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050209000884 MA Practitioner - Family Practice 3678553435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

429 Plymouth Ave
Fall River, MA 02721-4231
Phone (508) 679-0010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51540MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Clinic Inc Family Medicine CurrentSince Oct 16, 1986 Accepting new patients
Health Clinic Inc Urgent Care Past Accepting new patients
Health Clinic Inc Family Medicine PastSince Nov 28, 2001 Accepting new patients

Locations

429 Plymouth Ave
Fall River, MA 02721
Phone (508) 679-0010

459 Plymouth Ave
Fall River, MA 02721

1155 Purchase St
New Bedford, MA 02740
Phone (508) 997-1766

46 Foster St
New Bedford, MA 02740
Phone (508) 997-2900

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1861566606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 PLYMOUTH AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02721",
            "telephone_number": "508-679-0010",
            "fax_number": "508-672-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-997-2900",
            "fax_number": "508-991-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TUSHAR",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "51540",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "51540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PAJ05167",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "274212",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.