Active NPI
Abhishek Prakashchandra Patel, M.D., M.P.H.
- Pediatric Critical Care Medicine Physician
- San Antonio, TX
National Provider Identifier
1982850707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- Q1257
- Practice address
- 333 N Santa Rosa
San Antonio, TX 78207-3108 - Phone
- (210) 704-3030
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A116041 | CA | |
| Pediatrics Physician | 208000000X | Q1257 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | Q1257 | TX | Primary |
Addresses
Primary practice location
333 N Santa Rosa
San Antonio, TX 78207-3108
Mailing address
315 N San Saba
Suite 1135
San Antonio, TX 78207-3154
Phone (210) 704-3049
Other practice location 1
315 N San Saba
Suite 1135
San Antonio, TX 78207-3154
Phone (210) 704-3049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116041 | CA | MD | Pediatrics Physician |
| Q1257 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Pediatrics | Current | Accepting new patients |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
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 and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Children's Hospital
- San Antonio, TX
- NPI 1821004151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1982850707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N SAN SABA",
"address_2": "SUITE 1135",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "210-704-3049",
"fax_number": "210-704-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N SANTA ROSA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073108",
"telephone_number": "210-704-3030"
}
],
"practiceLocations": [
{
"address_1": "315 N San Saba",
"address_2": "Suite 1135",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073154",
"country_code": "US",
"telephone_number": "210-704-3049",
"fax_number": "210-704-4527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ABHISHEK",
"middle_name": "PRAKASHCHANDRA",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A116041",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q1257",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "Q1257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.