Physician Compare National (NPI:1255419602)

HEALTHCARE PROVIDER: AMRUT R PATEL MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255419602
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648457978
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110614000013
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	AMRUT
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1370 CRANSTON ST
	Group Practice or individual's line 1 address
City	CRANSTON
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	029206758
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4019431616
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	410005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OUR LADY OF FATIMA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	410012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE MIRIAM HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y