Organization Active NPI

Dhara and Darshak Patel MD LLC

  • Pediatrics Physician
  • Worcester, MA
National Provider Identifier
1891577839
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Dhara Darshak Patel, M.D.NPI 1386087690
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
11012099AMedicaidMA

Other names 1

  • Primary Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2320061Primary Pediatrics299 Lincoln Street Suite 203, Worcester, MA 01605Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.