Individual provider Active NPI

Ashvinkumar J Patel, MD

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1962409151
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D44436 Issued in MD
Practice address
102 Paul Mellon CT
Ste 102
Waldorf, MD 20602-2793
Phone
(301) 645-7414
Fax
(301) 645-7997
NPI assigned
Jul 1, 2005
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D44436 MD Primary

Addresses

Primary practice location

102 Paul Mellon CT
Ste 102
Waldorf, MD 20602-2793

Mailing address

102 Paul Mellon CT
Ste 102
Waldorf, MD 20602-2793
Phone (301) 645-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050308000144 MD Practitioner - Internal Medicine 0244284867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashvin J. Patel, M.D. PAGroup PAC ID 8022292374, 2 clinicians

Practice addresses (Care Compare)

102 Paul Mellon CT
Suite 102
Waldorf, MD 20602-2793
Phone (301) 645-7414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D44436MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashvin J. Patel, M.D. PA Internal Medicine CurrentSince Nov 29, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

102 Paul Mellon Ct
Ste 102
Waldorf, MD 20602
Phone (301) 645-7414

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.

Hospital & facility affiliations 5

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1962409151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PAUL MELLON CT",
            "address_2": "STE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022793",
            "telephone_number": "301-645-7414",
            "fax_number": "301-645-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PAUL MELLON CT",
            "address_2": "STE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022793",
            "telephone_number": "301-645-7414",
            "fax_number": "301-645-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHVINKUMAR",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D44436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.