Palak Patel, PA
Individual provider Active NPI Physician Assistant · Fargo, ND
NPI 1952641987 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1952641987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0738 (ND)
- Practice address
- 4656 40TH Ave S
Fargo, ND 58104 - Phone
- (701) 234-8860
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
332 2ND Ave N
Wahpeton, ND 58075-4528
Phone (701) 642-7000
4656 40TH Ave S
Fargo, ND 58104-4397
520 Chautauqua Blvd
Valley City, ND 58072-3145
Phone (701) 845-6000
Hospital & facility affiliations
- Sanford Medical Center Fargo
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181130002660 | ND | Practitioner - Physician Assistant | 6507002961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Health First Internal Medicine Associates, LLC | Past | Accepting new patients |
Locations
2603 E Broadway Ave
Bismarck, ND 58501
Phone (701) 323-5222
4656 40th Ave S
Fargo, ND 58104
Phone (701) 234-2431
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106926 | FL | |
| Physician Assistant | 363A00000X | PAC0738 | ND | Yes |
Addresses
Primary practice location
4656 40TH Ave S
Fargo, ND 58104
Mailing address
4656 40TH Ave S
Fargo, ND 58104-4397
Phone (701) 234-8860
Other practice location 1
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-3432
Other practice location 2
1950 Laurel Manor Dr
Suite 224
The Villages, FL 32162-5603
Phone (352) 751-6565
Other practice location 3
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-3432
Other providers in Fargo, ND
- John Alan Paschall
- Golnar Pashmforoosh
- Ellisha Ann Pastorek
- Chandni Patel
- Ektaben Patel
- Romil Y Patel
- Shivam Hitesh Patel
- Path Minnesota, Inc.
- Lakshmi Kant Pathak
- Patricia Bathie Counseling
All providers in Fargo, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.