Deepesh S Patel (NPI# 1720022486, PAC ID# 7810888716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720022486 |
| PAC ID by PECOS | 7810888716 |
| Professional Enrollment ID | I20040322000698 |
| Full Name | Deepesh S Patel |
| Organization Legal Name | AXIS MEDICAL PLLC |
| Address |
15 Fulton Ave Ll Poughkeepsie NY 12603-2315 |
| Phone Number | 8454738996 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0648330993 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| 330023 | VASSAR BROTHERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 | 8454738996 | AXIS MEDICAL PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% |
| Organization Legal Name | AXIS MEDICAL PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magen Mullaney | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Hong Chen | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Oksana Nichols | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Julio Cesar Martinez | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Gabriella Berta | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Kay Keise | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Yalanda Michelle Howard | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Michael Vincent Motise | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Yufang Johnson | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Street Address |
15 FULTON AVE LL |
| City | POUGHKEEPSIE |
| State | NY |
| Zip | 12603-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magen Mullaney | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Hong Chen | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Oksana Nichols | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Julio Cesar Martinez | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Gabriella Berta | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Kay Keise | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Yalanda Michelle Howard | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Michael Vincent Motise | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Yufang Johnson | Nurse Practitioner | Axis Medical Pllc | 15 Fulton Ave Ll, Poughkeepsie, NY 12603-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele L Speranza | Psychologist, Clinical | 965 Dutchess Tpke, Poughkeepsie, NY 12603-1551 | |
| Jeffrey M Margulies | Chiropractic | 4 Tucker Dr, Poughkeepie, NY 12603-1659 | |
| Gregory J Garner | Chiropractic | 4 Tucker Dr, Poughkeepie, NY 12603-1659 | |
| Frank C Pedevillano | Family Medicine | 21 Springside Ave, Poughkeepsie, NY 12603-1837 | |
| Thomas S Robinson | Family Medicine | 21 Springside Ave, Poughkeepsie, NY 12603-1837 | |
| Mohammad S Choudhry | Cardiovascular Disease (cardiology) | Medical Diagnostic Imaging, Pllc | 14 Raymond Ave, Poughkeepsie, NY 12603-2312 |
| Thomas Andrew Webster | Nuclear Medicine | Medical Diagnostic Imaging, Pllc | 14 Raymond Ave, Poughkeepsie, NY 12603-2312 |
| Gary D Grossman | Diagnostic Radiology | Medical Diagnostic Imaging, Pllc | 14 Raymond Ave, Poughkeepsie, NY 12603-2312 |
| Lisa Fisher | Diagnostic Radiology | Medical Diagnostic Imaging, Pllc | 14 Raymond Ave, Poughkeepsie, NY 12603-2312 |
| Clifford Barker | Diagnostic Radiology | Medical Diagnostic Imaging, Pllc | 14 Raymond Ave, Poughkeepsie, NY 12603-2312 |
| Find all physicians in zip 12603 | |||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | POUGHKEEPSIE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Deepesh S 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.