Ketan B. Patel, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

0101251492 Issued in VA

Practice address

15195 Heathcoat Blvd
Suite 230
Haymarket, VA 20169

Phone

(703) 914-8000

Fax

(703) 642-1876

NPI assigned

Jun 3, 2007

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Albany Medical College of Union University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
• Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
• Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpatel@spineandpain.emadirect.md

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.

• Physical Medicine Associates, LTD

  dba National Spine & Pain Centers

  • Interventional Pain Medicine Physician
  • McLean, VA
  • NPI 1003884560

  DC

  Medicare reassignment Care Compare group NPD
• Physical Medicine Associates, LTD

  dba National Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Fairfax, VA
  • NPI 1316465461
  NPD
• NSPC Surgery Center of Maryland LLC

  • Ambulatory Surgical Clinic/Center
  • Oxon Hill, MD
  • NPI 1346862869
  NPD
• Physical Medicine Associates LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Haymarket, VA
  • NPI 1588005433
  NPD (past)
• Physical Medicine Associates LTD

  • Clinical Laboratory Director (Non-physician)
  • Columbia, MD
  • NPI 1750840666
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fauquier Medical Center LLC

  dba Fauquier Health

  • General Acute Care Hospital
  • Warrenton, VA
  • NPI 1912334517
  Care Compare affiliation
• Inova Health Care Services

  dba Inova Fair Oaks Hospital

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation
• Uva Prince William Medical Center

  dba UVA Health Haymarket Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
  • NPI 1124369137
  Care Compare affiliation
• Uva Prince William Medical Center

  dba UVA Health Prince William Medical Center

  • General Acute Care Hospital
  • Manassas, VA
  • NPI 1417005760
  Care Compare affiliation

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1881896777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 HEATHCOAT BLVD",
            "address_2": "SUITE 230",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "20169",
            "telephone_number": "703-914-8000",
            "fax_number": "703-642-1876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24560 Southpoint Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Aldie",
            "state": "VA",
            "postal_code": "201053505",
            "country_code": "US",
            "telephone_number": "703-348-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101251492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "15195 Heathcoat Blvd",
            "address_2": "Suite 230",
            "city": "Haymarket",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "24560 Southpoint Dr Ste 120",
            "city": "Aldie",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201053505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Jose Olvera, MBA,MS,NRP,FP-C,CMTE
• Orthovirginia, Inc
• Arnold Osei-Kwaku
• Rachel Cornish Panosian, DPT
• Alexandra L Parillo
• Kristen Ashley Patterson, LMT
• Peak Potential Personal Development
• Kimberly M Pennington, PA
• Perklandmd, LLC (PerklandMD)
• Maria Perozzi, LMFT

• Interventional Pain Medicine Physician in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.