Active NPI
Kishen Patel, MD, MBA
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 326392
- Practice address
- 1000 Amsterdam Ave
New York, NY 10025-2208 - Phone
- (212) 523-4000
- NPI assigned
- Apr 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 326392 | LA | Primary |
Addresses
Primary practice location
1000 Amsterdam Ave
New York, NY 10025-2208
Mailing address
270 17TH St NW Unit 1512
Atlanta, GA 30363-1213
Phone (706) 817-3005
Other practice location 1
Grady Memorial Hospital
80 Jesse Hill Jr Drive SE
Atlanta, GA 30303
Phone (404) 616-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Icahn School of Medicine at Mount Sinai, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Hospital Dr
Bossier City, LA 71111-2385
Phone (318) 212-7000
2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600
Hospital & facility affiliations
- Texoma Medical Center
- Willis Knighton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326392 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level One Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Cross Lake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients | |
| Uhs of Texoma, Inc | Past | Accepting new patients |
Locations
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1013497114
-
- Emergency Medicine Physician
- Hillsboro, TX
- NPI 1003523002
-
- Emergency Medicine Physician
- Denison, TX
- NPI 1528790193
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1992201545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 17TH ST NW UNIT 1512",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303631213",
"telephone_number": "706-817-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252208",
"telephone_number": "212-523-4000"
}
],
"practiceLocations": [
{
"address_1": "Grady Memorial Hospital",
"address_2": "80 Jesse Hill Jr Drive SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30303",
"country_code": "US",
"telephone_number": "404-616-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KISHEN",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "326392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.