Individual provider Active NPI

Mayank V Patel, MD

  • Surgery Physician
  • Bronx, NY
National Provider Identifier
1902804768
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
202857 Issued in NY
Practice address
3175 E Tremont Ave
Bronx, NY 10461-5700
Phone
(718) 823-7135
Fax
(718) 823-7136
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 202857 NY Primary

Addresses

Primary practice location

3175 E Tremont Ave
Bronx, NY 10461-5700

Mailing address

3175 E Tremont Ave
Bronx, NY 10461-5700
Phone (718) 823-7135

Other identifiers 1

IdentifierTypeStateIssuer
1766632MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20070905000042 NY Practitioner - General Surgery 2365493988 Reassigns benefits to 4 organizations
I20110218000961 NJ Practitioner - Vascular Surgery 2365493988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
East Tremont Vascular Health Care PLLCGroup PAC ID 2668565888, 3 clinicians
Perry Ave Family Medical Center IncGroup PAC ID 0547365363, 28 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (718) 823-7135

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

3175 E Tremont Ave
Bronx, NY 10461-5700
Phone (718) 823-7135

Hospital & facility affiliations

  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal21
Leg revascularization (restoring blood flow)32
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202857NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Dec 25, 2016 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients
East Tremont Vascular Health Care, PLLC Surgery CurrentSince Jan 9, 2002 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Oct 1, 2021 Accepting new patients
Montefiore Medical Center Surgery CurrentSince Dec 25, 2016 Accepting new patients

Locations

1625 Anderson Ave
Ste 303
Fort Lee, NJ 07024
Phone (718) 823-7135

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

3175 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-8239

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mpatel19558@sbhny.direct-ci.net

Organizations & group practices 5

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 7

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902804768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615700",
            "telephone_number": "718-823-7135",
            "fax_number": "718-823-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615700",
            "telephone_number": "718-823-7135",
            "fax_number": "718-823-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYANK",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "202857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.