NPIMap

Individual provider Active NPI

Suresh Ambalal Patel, M.D.

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1912938176
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D46478 Issued in MD
Practice address
3575 Old Washington Rd
Suite a
Waldorf, MD 20602-3269
Phone
(301) 645-9650
Fax
(301) 645-0774
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D46478 MD Primary

Addresses

Primary practice location

3575 Old Washington Rd
Suite a
Waldorf, MD 20602-3269

Mailing address

3575 Old Washington Rd
Suite a
Waldorf, MD 20602-3269
Phone (301) 645-9650

Other identifiers 1

IdentifierTypeStateIssuer
105900900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120628000526 MD Practitioner - Internal Medicine 9830274919 Reassigns benefits to 1 organization
I20120703000346 DC Practitioner - Internal Medicine 9830274919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patel Ramanan and Associates P.a.Group PAC ID 2668424003, 2 clinicians

Practice addresses (Care Compare)

3575 Old Washington Rd
Suite a
Waldorf, MD 20602-3269
Phone (301) 645-9650

9420 Key W Ave
Suite 412
Rockville, MD 20850-6327
Phone (301) 834-1410

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Vna of Maryland Home health agency, Owings Mills, MD, CCN 217008
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Ramanan and Associates P.a. Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
Patel Ramanan and Associates P.a. Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Gyan C Surana MD.PC. Internal Medicine Past Accepting new patients
Thibin Santha MD, PC Past Accepting new patients
Advanced Weight Loss Surgery Past Accepting new patients

Locations

7501 Surratts Rd
Ste 307
Clinton, MD 20735
Phone (301) 856-9366

3575 Old Washington Rd
Ste A
Waldorf, MD 20602
Phone (301) 645-9650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20653/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1912938176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 OLD WASHINGTON RD",
            "address_2": "SUITE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023269",
            "telephone_number": "301-645-9650",
            "fax_number": "301-645-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 OLD WASHINGTON RD",
            "address_2": "SUITE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023269",
            "telephone_number": "301-645-9650",
            "fax_number": "301-645-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SURESH",
        "middle_name": "AMBALAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D46478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105900900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.