Individual provider Active NPI

Sachin B Patel, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pottsville, PA
National Provider Identifier
1992886758
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD438121 Issued in PA
Practice address
541 W Bacon St
Pottsville, PA 17901-3917
Phone
(570) 580-4084
Fax
(570) 580-4842
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD438121 PA Primary

Addresses

Primary practice location

541 W Bacon St
Pottsville, PA 17901-3917

Mailing address

2 Chatham Hill Cir
Clarks Summit, PA 18411-8795
Phone (570) 604-3276

Other practice location 1

245 S Prospect St
Nanticoke, PA 18634-2443
Phone (570) 580-4084

Other practice location 2

210 N State St
Clarks Summit, PA 18411-1008
Phone (570) 587-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spatel@patelretina.intellechartdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000871 PA Practitioner - Ophthalmology 7911007109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

541 W Bacon St
FL 1
Pottsville, PA 17901-3917
Phone (570) 580-4084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD438121PAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye of Nepa LLC CurrentSince Jun 1, 2010 Accepting new patients
The Retina Clinic, LLC PastSince Aug 1, 2007 Accepting new patients

Locations

210 N State St
Ste 15
Clarks Summit, PA 18411

210 N State St
Clarks Summit, PA 18411
Phone (860) 384-0267

281 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-2020

245 S Prospect St
Nanticoke, PA 18634
Phone (570) 580-4084

541 W Bacon St
Fl 1
Pottsville, PA 17901
Phone (570) 580-4084

541 W Bacon St
Pottsville, PA 17901
Phone (570) 621-4800

541 W Bacon St
Ste 1
Pottsville, PA 17901

10 Trieble Dr
Ste 3
Tunkhannock, PA 18657
Phone (570) 836-2020

158 Wilkes Barre Township Blvd
Fl 2
Wilkes Barre, PA 18702
Phone (570) 580-4084

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1992886758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHATHAM HILL CIR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184118795",
            "telephone_number": "570-604-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W BACON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013917",
            "telephone_number": "570-580-4084",
            "fax_number": "570-580-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 S Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342443",
            "country_code": "US",
            "telephone_number": "570-580-4084",
            "fax_number": "570-580-4842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarks Summit",
            "state": "PA",
            "postal_code": "184111008",
            "country_code": "US",
            "telephone_number": "570-587-7500",
            "fax_number": "570-587-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SACHIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-10-30",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD438121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel@patelretina.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Patel Retina Institute",
            "address_1": "210 N State St",
            "city": "Clarks Summit",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184111008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.