Bhupendranath Galal Patel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301040083 Issued in MI

Practice address

6770 Dixie Hwy
Clarkston, MI 48346-2087

Phone

(248) 625-0030

Fax

(248) 625-4403

NPI assigned

Jun 16, 2006

Last updated

Dec 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Iha Ooma Primary LLC

  dba IHA Clarkston Primary Care

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1023788148
  NPD
• Iha Ooma Primary LLC

  dba IHA Bloomfield Primary Care

  • Family Medicine Physician
  • Bloomfield Township, MI
  • NPI 1245815984
  NPD
• Iha Ooma Primary LLC

  • Family Medicine Physician
  • Commerce TWP, MI
  • NPI 1780470179
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1932143971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY STE 303",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462090",
            "telephone_number": "248-625-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-625-0030",
            "fax_number": "248-625-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUPENDRANATH",
        "middle_name": "GALAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301040083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932143971",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partwo Inc (Medcenter Pharmacy)
• Adam R Pasciak, PH.D., LP
• Crystal R. Pasciak, MS, LPC
• Colleen Marie Pascoe, OT
• Anthony Richard Pasquale, DPT
• Hardik Yogendrabhai Patel
• Mihir Patel, PHARM D
• Ronak Arvindkumar Patel, PHARM. D.
• Sagar Patel, M.D.
• Pathways to Wholeness; Life Coaching, Inc.

• Family Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.

Verify at the official NPI Registry.