Ketan P Patel (NPI# 1003814146, PAC ID# 6305730508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003814146 |
| PAC ID by PECOS | 6305730508 |
| Professional Enrollment ID | I20040210000170 |
| Full Name | Ketan P Patel |
| Organization Legal Name | PREMIER INTERNISTS OF NORTH TEXAS, PLLC |
| Address |
9 Medical Pkwy Suite 308 Dallas TX 75234-7855 |
| Phone Number | 9728887240 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 9739331091 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450379 | DALLAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 | 9728887240 | PREMIER INTERNISTS OF NORTH TEXAS, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PREMIER INTERNISTS OF NORTH TEXAS, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manojkumar A Dobariya | Family Medicine | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Jane-frances Shiti | Nurse Practitioner | Premier Internists of North Texas, Pllc | 1 Medical Pkwy, Suite 103, Dallas, TX 75234-7830 |
| Ephraim Keng | Internal Medicine | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Mary Joseph | Nurse Practitioner | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Mahesh Pillai | Nurse Practitioner | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Arpita H Amin | Physician Assistant | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Street Address |
9 MEDICAL PKWY SUITE 308 |
| City | DALLAS |
| State | TX |
| Zip | 75234-7855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Hariz | General Surgery | Dallas Medical Physician Group | 9 Medical Pkwy, Dallas, TX 75234-7851 |
| Robert R Ippolito | Hand Surgery | 9 Medical Pkwy, Suite 101, Dallas, TX 75234-7852 | |
| Manojkumar A Dobariya | Family Medicine | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Michael L Maris | Dermatology | Dermatology Consultants | 9 Medical Pkwy, Suite 105, Dallas, TX 75234-7852 |
| Opta L Braun | Obstetrics/gynecology | 9 Medical Pkwy, Suite 303, Dallas, TX 75234-7855 | |
| Abdullah Mubarak | Internal Medicine | 9 Medical Pkwy, Dallas, TX 75234-7858 | |
| Rebecca L Euwer | Dermatology | Dermatology Consultants | 9 Medical Pkwy, Suite 105, Dallas, TX 75234-7852 |
| Ephraim Keng | Internal Medicine | Premier Internists of North Texas, Pllc | 9 Medical Pkwy, Suite 308, Dallas, TX 75234-7855 |
| Sharon E Greggs | Obstetrics/gynecology | 9 Medical Pkwy, Suite 303, Dallas, TX 75234-7855 | |
| Waymon Drummond | Internal Medicine | 9 Medical Pkwy, Dallas, TX 75234-7858 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra D Balanciere | Nurse Practitioner | Farmers Branch Primary Care LLC | 13000 Josey Lane, 100 Farmers Branch Primary Care, Farmers Branch, TX 75234 |
| Nitin K Patel | Optometry | 2755 Valley View Lane, Suite 100, Farmers Branch, TX 75234 | |
| Dennis H Birenbaum | Hematology/oncology | Thoc Pa | Plaza, Suite 3, Dallas, TX 75234 |
| Eugene Johathan Wyszynski | Hematology/oncology | Thoc Pa | Plaza, Suite 3, Dallas, TX 75234 |
| Alonda E. Crockett | Nurse Practitioner | 13000 Josey Lane, 100 Farmers Branch Primary Care, Farmers Branch, TX 75234 | |
| Hieu T Truong | General Practice | 2437 Valwood Pkwy, Farmers Branch, TX 75234-3411 | |
| Theodore R Simon | Nuclear Medicine | Functional Imaging of Texas Pa | 8345 Walnut Hill Ln, Suite 210, Dallas, TX 75234-4209 |
| Martha J Rodriguez-ruiz | Family Medicine | The Ruiz Group LLC | 2914 Valley View Ln, Suite 130, Farmers Branch, TX 75234-4929 |
| David Frank Pascoe | Nurse Practitioner | Lumincare Physician Group Pa | 2914 Valley View Ln, Farmers Branch, TX 75234-4929 |
| Raymond Eugene Liverman Jr. | Chiropractic | 2736 Valley View Ln, Suite 200, Dallas, TX 75234-4969 | |
| Find all physicians in zip 75234 | |||
| City | DALLAS |
| Zip Code | 75234 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DALLAS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ketan P Patel.
| 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.