Mital Sumankumar Patel, M.D. (ORTHOPAEDICS)

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

TR60434874 Issued in WA

Practice address

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169

Phone

(505) 426-3795

Fax

(505) 425-2653

NPI assigned

Jan 24, 2013

Last updated

Mar 8, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Orthopedic Surgery

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deming Clinic CorporationGroup PAC ID 8325001548, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amercare Home Health Care Corporation Home health agency, Silver City, NM, CCN 327061
• Mimbres Valley Medical Center Hospital, Deming, NM, CCN 321309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1596/brand/1/csg/43/fhir/r4
• Direct secure messaging: mital.patel.1@1596.direct.athenahealth.com
• Direct secure messaging: mpatel95@yourcarecommunity.org

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.

• Deming Clinic Corporation

  • Family Medicine Physician
  • Deming, NM
  • NPI 1205835808
  Medicare reassignment Care Compare group NPD
• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Medicare reassignment NPD
• San Miguel Clinic Corp

  • Family Medicine Physician
  • Las Vegas, NM
  • NPI 1114920717
  Medicare reassignment NPD
• Deming Hospital Corporation

  dba Mimbres Valley Medical Group

  • Rural Health Clinic/Center
  • Deming, NM
  • NPI 1134526221
  NPD (past)

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

• Ambercare Home Health Care Corporation

  • Home Health Agency
  • Silver City, NM
  • NPI 1447376066
  Care Compare affiliation
• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Las Cruces, NM
  • NPI 1609039833
  Care Compare affiliation
• Deming Hospital Corporation

  dba Mimbres Memorial Hospital

  • Critical Access Hospital
  • Deming, NM
  • NPI 1891075446
  Care Compare affiliation

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1891033957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-598-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITAL",
        "middle_name": "SUMANKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D. (ORTHOPAEDICS)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "TR60434874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891033957",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert Palacios, BMS
• Michael Alan Palmer, D.C.
• David Gustavo Parajon, MD
• Cynthia Parsons
• Brian Christopher Partridge, PSY.D.
• Pathways (Raychel Hosch)
• Terri Pearce, LMSW
• Randall Pena
• Tania D Pence, DO
• Emma Lizette Peoble, FNP

• Orthopaedic Surgery Physician in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Orthopaedic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.