Individual provider Active NPI

Ameya Patel

  • Medical Physician Assistant
  • Doylestown, PA
National Provider Identifier
1912667114
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063107 Issued in PA
Practice address
103 Progress Dr Ste 100
Doylestown, PA 18901-2511
Phone
(215) 345-6332
NPI assigned
Dec 29, 2021
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063107 PA Primary

Addresses

Primary practice location

103 Progress Dr Ste 100
Doylestown, PA 18901-2511

Mailing address

617 Harleysville Pike
Harleysville, PA 19438-2854
Phone (267) 614-0536

Other practice location 1

4 Terry Dr Ste 10
Newtown, PA 18940-1882
Phone (215) 968-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220216000897 PA Practitioner - Physician Assistant 5799178794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks-Mont Dermatology Associates PC PastSince Sep 20, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1912667114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 HARLEYSVILLE PIKE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382854",
            "telephone_number": "267-614-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR STE 100",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-345-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Terry Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401882",
            "country_code": "US",
            "telephone_number": "215-968-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMEYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.