Individual provider Active NPI

Alisha Patel

  • Nurse Practitioner
  • Tyngsboro, MA
National Provider Identifier
1891444600
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2358770 Issued in MA
Practice address
58 Sequoia Rd
Tyngsboro, MA 01879-2162
Phone
(978) 995-8228
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2358770 MA Primary
Registered Nurse 163W00000X RN2358770 MA

Addresses

Primary practice location

58 Sequoia Rd
Tyngsboro, MA 01879-2162

Mailing address

58 Sequoia Rd
Tyngsboro, MA 01879-2162
Phone (978) 995-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240416003589 MA Practitioner - Nurse Practitioner 6800235367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Medical Group PCGroup PAC ID 5193612919, 12 clinicians

Practice addresses (Care Compare)

275 Varnum Ave
Suite 201
Lowell, MA 01854-2141
Phone (978) 452-9700

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2358770MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Group PC CurrentSince Mar 2, 2024 Accepting new patients
Premier Diagnostic Services, Inc Past Accepting new patients

Locations

275 Varnum Ave
#201
Lowell, MA 01854
Phone (978) 452-9700

275 Varnum Ave
Ste 201
Lowell, MA 01854
Phone (978) 452-9700

Interoperability endpoints

  • Direct secure messaging: apatel89459@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1891444600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SEQUOIA RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792162",
            "telephone_number": "978-995-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SEQUOIA RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792162",
            "telephone_number": "978-995-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ALISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2358770",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2358770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

Verify at the official NPI Registry.