Individual provider Active NPI

Ajay Harivadan Patel, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Downey, CA
National Provider Identifier
1962636522
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A120793 Issued in CA
Practice address
10441 Lakewood Blvd Ste E
Downey, CA 90241-2744
Phone
(562) 869-3585
Fax
(562) 869-3590
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A120793 CA Primary

Addresses

Primary practice location

10441 Lakewood Blvd Ste E
Downey, CA 90241-2744

Mailing address

5828 Canter Cove CT
Rancho Cucamonga, CA 91739-2659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150803002702 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Interventional Radiology 2860706975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ajay Patel MD a Professional Medical CorporationGroup PAC ID 5890088447, 3 clinicians

Practice addresses (Care Compare)

10441 Lakewood Blvd
Suite E
Downey, CA 90241-2871
Phone (562) 869-3585

Hospital & facility affiliations

  • Dedicated Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 559027
  • Primrose Home Health, Inc Home health agency, Burbank, CA, CCN 059106
  • Sunrise Home Health Care Home health agency, Burbank, CA, CCN 559500
  • Armony Home Health Care Inc Home health agency, San Gabriel, CA, CCN 757882

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as group
Quality
70
Improvement activities
40
Cost
64.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120793CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Patel, MD a Professional Medical Corporation Pain Medicine CurrentSince May 10, 2016 Accepting new patients
St Francis Medical Center Past Accepting new patients
Parkview Orthopaedic Group S C PastSince May 10, 2016 Accepting new patients

Locations

10441 Lakewood Blvd
Ste E
Downey, CA 90241
Phone (562) 869-3585

11525 Brookshire Ave
Ste 402
Downey, CA 90241
Phone (562) 869-3585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1962636522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 CANTER COVE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 LAKEWOOD BLVD STE E",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412744",
            "telephone_number": "562-869-3585",
            "fax_number": "562-869-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AJAY",
        "middle_name": "HARIVADAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A120793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.