Active NPI
Ankita Patel, APRN
- Gerontology Nurse Practitioner
- North Olmsted, OH
National Provider Identifier
1912940636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- COA.10853-NP
- Practice address
- 25000 Country Club Blvd
#255
North Olmsted, OH 44070-5344 - Phone
- (440) 893-0200
- Fax
- (440) 793-7194
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 085124 | CT | |
| Gerontology Nurse Practitioner | 363LG0600X | 003811 | CT | |
| Gerontology Nurse Practitioner | 363LG0600X | COA.10853-NP | OH | Primary |
Addresses
Primary practice location
25000 Country Club Blvd
#255
North Olmsted, OH 44070-5344
Mailing address
25000 Country Club Blvd
#255
North Olmsted, OH 44070-5344
Phone (440) 893-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130362 | Medicaid | NJ |
Other names 1
- Mrs. Ankita Chokshi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085124 | CT | MD | Registered Nurse |
| 003811 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| NP Care, LLC | Past | Accepting new patients | |
| NP Care, LLC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894
Organizations & group practices 3
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.
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-
- Nurse Practitioner
- Shelton, CT
- NPI 1386693182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1912940636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 COUNTRY CLUB BLVD",
"address_2": "#255",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440705344",
"telephone_number": "440-893-0200",
"fax_number": "440-793-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25000 COUNTRY CLUB BLVD",
"address_2": "#255",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440705344",
"telephone_number": "440-893-0200",
"fax_number": "440-793-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANKITA",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "085124",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "003811",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "COA.10853-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130362",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANKITA",
"last_name": "CHOKSHI",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.