Individual provider Active NPI

Amit A Patel, PA-C

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1932330198
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C03999 Issued in MD
Practice address
2012 S Tollgate Rd
Suite 102
Bel Air, MD 21015-5900
Phone
(410) 877-8661
Fax
(410) 877-2665
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C03999 MD Primary

Addresses

Primary practice location

2012 S Tollgate Rd
Suite 102
Bel Air, MD 21015-5900

Mailing address

PO Box 997
Bel Air, MD 21014-0997
Phone (410) 877-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091028000041 MD Practitioner - Physician Assistant 4880731678 Reassigns benefits to 1 organization
I20120306000361 DC Practitioner - Physician Assistant 4880731678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19801 Observation Dr
Germantown, MD 20876-4070
Phone (443) 693-7246

5500 Knoll N Dr
Suite 501
Columbia, MD 21045-2370
Phone (410) 571-2946

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physician Assistant CurrentSince Jul 18, 2011 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Jul 18, 2011 Accepting new patients
Chesapeake Pain Center, LLC Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

201 Defense Hwy
Ste 205
Annapolis, MD 21401

116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 208
Baltimore, MD 21229

6602 Church Hill Rd
Ste 550
Chestertown, MD 21620

5500 Knoll North Dr
Ste 500
Columbia, MD 21045

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

598 Cynwood Dr
Ste 105
Easton, MD 21601
Phone (410) 822-1221

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19851 Observation Dr
Ste 360
Germantown, MD 20876

7671 Quarterfield Rd
Ste 301
Glen Burnie, MD 21061
Phone (410) 457-3041

7300 Hanover Dr
Ste 103
Greenbelt, MD 20770
Phone (202) 341-7678

23000 Moakley St
Ste 206
Leonardtown, MD 20650
Phone (301) 475-5855

8100 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 442-0500

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

6569 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-6090

826 Washington Rd
Ste 210
Westminster, MD 21157
Phone (410) 346-5163

Interoperability endpoints

  • Direct secure messaging: amit.patel.1@11679.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1932330198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140997",
            "telephone_number": "410-877-8661",
            "fax_number": "410-877-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-877-8661",
            "fax_number": "410-877-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMIT",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.