Individual provider Active NPI

Rattan Mahendrakumar Patel, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1922295799
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10200000 Issued in NJ
Practice address
9602 4TH Ave Apt 4L
Brooklyn, NY 11209-7820
Phone
(718) 680-0657
NPI assigned
Sep 26, 2007
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265750 NY
Internal Medicine Physician 207R00000X 25MA10200000 NJ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA10200000 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 265750 NY
Infectious Disease Physician 207RI0200X 265750 NY
Infectious Disease Physician 207RI0200X 25MA10200000 NJ

Addresses

Primary practice location

9602 4TH Ave Apt 4L
Brooklyn, NY 11209-7820

Mailing address

430 67TH St
Brooklyn, NY 11220-4903
Phone (718) 213-1416

Other practice location 1

7101 Narrows Ave
Basment
Brooklyn, NY 11209-1805
Phone (718) 213-1416

Other identifiers 1

IdentifierTypeStateIssuer
03526285MedicaidNY

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
I20120921000350 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Infectious Disease 7810152485 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY
I20171026000030 NJ Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Infectious Disease 7810152485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

11 Ralph PL
Suite 105
Staten Island, NY 10304-4405
Phone (718) 213-1416

142 Palisade Ave
Suite 216
Jersey City, NJ 07306-1108
Phone (718) 680-0657

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
North Shore-Lij Medical PC Multi-Specialty CurrentSince Apr 4, 2025 Accepting new patients
Coney Island Medical Practice Plan, P.C. Multi-Specialty CurrentSince Sep 19, 2012 Accepting new patients
Garden State Healthcare Associates, LLC Multi-Specialty CurrentSince Oct 2, 2017 Accepting new patients
City Medical Office PC. Multi-Specialty CurrentSince Feb 15, 2017 Accepting new patients
North Shore - Lij Medical PC Multi-Specialty CurrentSince Apr 4, 2025 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty Past Accepting new patients
Empire State Radiology P C Multi-Specialty PastSince Oct 1, 2012 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

142 Palisade Ave
Ste 216
Jersey City, NJ 07306
Phone (201) 714-4900

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

11 Ralph Pl
Ste 105
Staten Island, NY 10304
Phone (718) 213-1416

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

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

Interoperability endpoints

  • Direct secure messaging: rattan.patel@direct.christhospital.md
  • Direct secure messaging: rpatel321412@northwell.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1922295799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204903",
            "telephone_number": "718-213-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 4TH AVE APT 4L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097820",
            "telephone_number": "718-680-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Narrows Ave",
            "address_2": "Basment",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112091805",
            "country_code": "US",
            "telephone_number": "718-213-1416",
            "fax_number": "888-501-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RATTAN",
        "middle_name": "MAHENDRAKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265750",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10200000",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA10200000",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "265750",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "265750",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA10200000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03526285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.