Pravinchandra K. Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD033104E Issued in PA

Practice address

2872 Turnpike St
Susquehanna, PA 18847-2771

Phone

(570) 853-3135

Fax

(570) 853-3008

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/bkchosp-be195a39

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.

• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161

  PA

  Medicare reassignment NPD
• Barnes-Kasson County Hospital

  • Rural Health Clinic/Center
  • Honesdale, PA
  • NPI 1659180388
  NPD
• Barnes-Kasson County Hospital

  • Skilled Nursing Facility
  • Susquehanna, PA
  • NPI 1083632202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1992749477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135",
            "fax_number": "570-853-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135",
            "fax_number": "570-853-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAVINCHANDRA",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD033104E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007848",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Rose Mroz, LPN
• Kyra Neff, PTA
• Anthony Palonis, CRNA
• Colton Parsons, PA
• Bhupendra Patel, MD
• Suman A Patel, MD
• Karen Pohutsky, MD
• Reddon Drug Co. Inc.
• Reddon Pharmacy
• Kathleen Reddon, PHARMACIS

• All providers in Susquehanna, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.

Verify at the official NPI Registry.