Amita N Patel


Address: 1403 St Mary, Lake Village, AR 71653-0001
Phone: 8702653837

Amita N Patel (NPI# 1417149253, PAC ID# 6002720281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1417149253
PAC ID by PECOS 6002720281
Professional Enrollment ID I20040927000429
Full Name Amita N Patel
Address 1403 St Mary
Lake Village
AR 71653-0001
Phone Number 8702653837
Gender M
Credential MD
Graduation Year 1979
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250082 DELTA REGIONAL MEDICAL CENTER
041328 CHICOT MEMORIAL MEDICAL CENTER
250001 UNIVERSITY OF MISSISSIPPI MED CENTER

Other Locations

Address Phone Organization
1403 St Mary, Lake Village, AR 71653-0001 8702653837

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 92%
ACI_EC_TRANS_HIE_1 Health Information Exchange 2%
ACI_EC_TRANS_MR_1 Medication Reconciliation 99%
ACI_EC_TRANS_PEA_1 Provide Patient Access 98%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 4%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 8%
ACI_EC_TRANS_SM_1 Secure Messaging 3%
MIPS_EC_047_overall Care Plan 56%

Organization Information

Office Location

Street Address 1403 ST MARY
City LAKE VILLAGE
State AR
Zip 71653-0001

Physicians in the same zip code

Name Specialty Organization Address
Autumn M Bennett Nurse Practitioner 905 Borgognoni Dr, Lake Village, AR 71653-1623
Mark Robinson Optometry 1655 S Hwy 65 82, Lake Village, AR 71653-1661
James C Wright Family Medicine Lake Village Clinic Pa 2918 Louis Session St, Lake Village, AR 71653-6049
Jo Anne Gregory Family Medicine Lake Village Clinic Pa 2918 Louis Session St, Lake Village, AR 71653-6049
Christopher M Johnson Nurse Practitioner Lake Village Clinic Pa 2918 Louis Session St, Lake Village, AR 71653-6049
John P Burge General Surgery Lake Village Clinic Pa 2918 Louis Session St, Lake Village, AR 71653-6049
John R Russell Family Medicine 2918 Louis Session St, Lake Village, AR 71653-6049
Mohanned H Ahmed Family Medicine Arkansas Emergency Staffing Solutions Inc 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136
Justin G Gates Certified Registered Nurse Anesthetist (crna) Chicot Memorial Medical Center 2729 Hwy 65 and 82 S, Chicot Memorial Anesthesia Services, Lake Village, AR 71653-6136
Ben P Folk Iii Cardiovascular Disease (cardiology) 2729s Hwy 65 82, Lake Village, AR 71653-6136
Find all physicians in zip 71653

Competitor

Search similar physicians

City LAKE VILLAGE
Zip Code 71653
Specialty NEPHROLOGY
City + Specialty LAKE VILLAGE + NEPHROLOGY

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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