Individual provider Active NPI

Samir Babubhai Patel, M.D.

  • Anesthesiology Physician
  • Bel Air, MD
National Provider Identifier
1972544674
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D62983 Issued in MD
Practice address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone
(410) 420-7630
Fax
(410) 420-7911
NPI assigned
Jun 10, 2006
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D62983 MD Primary

Addresses

Primary practice location

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Mailing address

1509 Stone Post CT
Bel Air, MD 21015-5818
Phone (410) 776-2286

Other identifiers 1

IdentifierTypeStateIssuer
408169200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050624000515 MD Practitioner - Anesthesiology 4183669666 Reassigns benefits to 2 organizations
I20210208001515 DC Practitioner - Anesthesiology 4183669666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270

8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince May 1, 2014 Accepting new patients
Bel Air Endoscopy ASC LLC Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

700 Melvin Ave
Ste 7A
Annapolis, MD 21401
Phone (240) 766-2734

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 5

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 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1972544674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 STONE POST CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155818",
            "telephone_number": "410-776-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "410-420-7630",
            "fax_number": "410-420-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "middle_name": "BABUBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D62983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408169200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.