Individual provider Active NPI

Deval Patel, CRNP

  • Nurse Practitioner
  • Lansdale, PA
National Provider Identifier
1962839340
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013169 Issued in PA
Practice address
21 S. Valley Forge Rd.
Unit 100
Lansdale, PA 19446
Phone
(267) 647-6400
Fax
(610) 584-5188
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013169 PA Primary

Addresses

Primary practice location

21 S. Valley Forge Rd.
Unit 100
Lansdale, PA 19446

Mailing address

21 S. Valley Forge Rd.
Unit 100
Lansdale, PA 19446
Phone (267) 647-6400

Other identifiers 1

IdentifierTypeStateIssuer
SP013169OtherPAPA STATE LICENSE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140819000572 PA Practitioner - Nurse Practitioner 3678790417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amin Medical Center LLCGroup PAC ID 9830376532, 8 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, 101 clinicians

Practice addresses (Care Compare)

21 S Valley Forge Rd
Suite 100
Lansdale, PA 19446-1937
Phone (267) 647-6400

3887 Skippack Pike
Skippack, PA 19474-0070
Phone (610) 584-1663

4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013169PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amin Medical Center LLC CurrentSince Oct 5, 2015 Accepting new patients
Amin Medical Center Past Accepting new patients
Amin Medical Center, LLC Past Accepting new patients

Locations

21 S Valley Forge Rd
Ste 100
Lansdale, PA 19446
Phone (267) 647-6400

Interoperability endpoints

  • Direct secure messaging: npdevalpatel@aminmedicalcenter.medentdirect.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1962839340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S. VALLEY FORGE RD.",
            "address_2": "UNIT 100",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "267-647-6400",
            "fax_number": "610-584-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S. VALLEY FORGE RD.",
            "address_2": "UNIT 100",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "267-647-6400",
            "fax_number": "610-584-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVAL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "SP013169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.