Individual provider Active NPI

Khyati Arvind Patel, MD

  • Family Medicine Physician
  • Cranston, RI
National Provider Identifier
1861788200
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD14933 Issued in RI
Practice address
725 Reservoir Ave Ste 204
Cranston, RI 02910-4451
Phone
(401) 563-9825
Fax
(401) 563-9826
NPI assigned
Jun 23, 2011
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 MD14933 RI Primary

Addresses

Primary practice location

725 Reservoir Ave Ste 204
Cranston, RI 02910-4451

Mailing address

725 Reservoir Ave Ste 204
Cranston, RI 02910-4451
Phone (401) 563-9825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150213001419 MA Practitioner - Family Practice 1153646104 Reassigns benefits to 1 organization
I20150505001824 RI Practitioner - Family Practice 1153646104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ri Rheumatology LLCGroup PAC ID 0042601965, 2 clinicians

Practice addresses (Care Compare)

725 Reservoir Ave
Suite 204
Cranston, RI 02910-4451
Phone (401) 563-9825

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14933RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Rheumatology LLC CurrentSince Jul 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. Family Medicine CurrentSince Sep 7, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 7, 2021 Accepting new patients

Locations

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

725 Reservoir Ave
Ste 204
Cranston, RI 02910
Phone (401) 563-9825

850 Aquidneck Ave
Middletown, RI 02842
Phone (401) 846-0055

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAGCD/Endpoint/GHAGCD
  • Direct secure messaging: kpatel59135@direct.southcoast.org

Organizations & group practices 3

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 3

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1861788200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 204",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-563-9825",
            "fax_number": "401-563-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 204",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-563-9825",
            "fax_number": "401-563-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHYATI",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD14933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.