Individual provider Active NPI

Yesha Patel, PA-C

  • Medical Physician Assistant
  • Hanover, MD
National Provider Identifier
1871870535
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0005392 Issued in MD
Practice address
7250 Parkway Dr
Suite 500
Hanover, MD 21076-1388
Phone
(443) 949-0814
Fax
(443) 949-0825
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055205 PA
Medical Physician Assistant 363AM0700X C0005392 MD Primary

Addresses

Primary practice location

7250 Parkway Dr
Suite 500
Hanover, MD 21076-1388

Mailing address

806 Phyllis St
Odenton, MD 21113-2285
Phone (717) 343-0758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140922001640 MD Practitioner - Physician Assistant 0749456739 Reassigns benefits to 6 organizations
I20150514001676 DC Practitioner - Physician Assistant 0749456739 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics Rehabilitative Services LLCGroup PAC ID 4981861903, 25 clinicians

Practice addresses (Care Compare)

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone (443) 949-0814

725 Mount Wilson LN
Pikesville, MD 21208-1105
Phone (443) 852-7939

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 23, 2015 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince May 1, 2015 Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 23, 2015 Accepting new patients

Locations

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

200 E 16th St
Frederick, MD 21701
Phone (301) 662-8700

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

300 Saint Luke Cir
Westminster, MD 21158
Phone (410) 453-1655

Organizations & group practices 8

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 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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1871870535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 PHYLLIS ST",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132285",
            "telephone_number": "717-343-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR",
            "address_2": "SUITE 500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761388",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YESHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055205",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.