Organization Active NPI

Patel Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • Langhorne, PA
National Provider Identifier
1881109221
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD068305L Issued in PA
Legal business name
PATEL CARDIOVASCULAR CONSULTANTS LLC
Practice address
240 Middletown Blvd Ste 101C
Langhorne, PA 19047
Phone
(267) 560-5461
Fax
(267) 358-5448
NPI assigned
Dec 7, 2017
Last updated
Sep 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Dr. Mrugesh B Patel, MDNPI 1780642975
Title
Provider
Phone
(215) 588-8922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD068305L PA Primary

Addresses

Primary practice location

240 Middletown Blvd Ste 101C
Langhorne, PA 19047

Mailing address

308 Pennington Titusville Rd
Pennington, NJ 08534-4103
Phone (215) 588-8922

Other practice location 1

240 Middletown Blvd Ste 101C
Langhorne, PA 19047-1832
Phone (215) 550-9999

Other identifiers 4

IdentifierTypeStateIssuer
656194OtherPAAETNA
1034883300001MedicaidPA
003805991OtherPAPABS HIGHMARK
656194OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180515000492 PA Part B Supplier - Clinic/Group Practice 3375807654 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1881109221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 PENNINGTON TITUSVILLE RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085344103",
            "telephone_number": "215-588-8922",
            "fax_number": "267-358-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN BLVD STE 101C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "267-560-5461",
            "fax_number": "267-358-5448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Middletown Blvd Ste 101C",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471832",
            "country_code": "US",
            "telephone_number": "215-550-9999",
            "fax_number": "215-750-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATEL CARDIOVASCULAR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MRUGESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "215-588-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD068305L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "656194",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034883300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS HIGHMARK",
            "identifier": "003805991",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "656194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.