Active NPI
Dhara and Darshak Patel MD LLC
- Pediatrics Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- DHARA AND DARSHAK PATEL MD LLC
- Practice address
- 299 Lincoln Street
Suite 203
Worcester, MA 01605-3609 - Phone
- (508) 856-0200
- Fax
- (508) 856-0222
- NPI assigned
- Oct 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dhara Darshak Patel, M.D.
- Title
- Owner
- Phone
- (508) 856-0200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
299 Lincoln Street
Suite 203
Worcester, MA 01605-3609
Mailing address
299 Lincoln Street
Suite 203
Worcester, MA 01605-3609
Phone (508) 856-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11012099A | Medicaid | MA |
Other names 1
- Primary Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2320061 | Primary Pediatrics | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
299 Lincoln St
Ste 203
Worcester, MA 01605
Phone (508) 856-0200
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Worcester, MA
- NPI 1386087690
-
- Pediatric Nurse Practitioner
- Acton, MA
- NPI 1760751127
-
- Pediatrics Physician
- Chestnut Hill, MA
- NPI 1871563890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1891577839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 LINCOLN STREET",
"address_2": "SUITE 203",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053609",
"telephone_number": "508-856-0200",
"fax_number": "508-856-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 LINCOLN STREET",
"address_2": "SUITE 203",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053609",
"telephone_number": "508-856-0200",
"fax_number": "508-856-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHARA AND DARSHAK PATEL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DHARA",
"authorized_official_middle_name": "DARSHAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-856-0200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11012099A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.