Individual provider Active NPI

Amrish K Patel, M.D.

  • Allergy & Immunology Physician
  • Royal Oak, MI
National Provider Identifier
1952326225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
050602 Issued in MI
Practice address
3600 W 13 Mile Rd
Royal Oak, MI 48073-6711
Phone
(248) 549-0777
Fax
(248) 549-5888
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 050602 MI Primary

Addresses

Primary practice location

3600 W 13 Mile Rd
Royal Oak, MI 48073-6711

Mailing address

3600 W 13 Mile Rd
Royal Oak, MI 48073-6711
Phone (248) 549-0777

Other identifiers 2

IdentifierTypeStateIssuer
0306316881OtherMIBLUE CROSS
2614090MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001265 MI Practitioner - Allergy/Immunology 1052370525 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050602MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of Mi PC Allergy & Immunology CurrentSince Nov 8, 1993 Accepting new patients
Allergy & Asthma Physicians of Royal Oak PC Allergy & Immunology PastSince Nov 8, 1993 Accepting new patients

Locations

3600 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 549-0777

43200 Dequindre Rd
Ste 101
Sterling Hts, MI 48314
Phone (586) 323-2600

Interoperability endpoints

  • Direct secure messaging: patel.amrish.007.0220031@aaam.meditab.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952326225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736711",
            "telephone_number": "248-549-0777",
            "fax_number": "248-549-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736711",
            "telephone_number": "248-549-0777",
            "fax_number": "248-549-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMRISH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "050602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0306316881",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2614090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.