ISHAN PATEL MD
NPI 1053931493
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 24, 2020PECOS Enrolled

4201 ST. ANTOINE ST, UHC-9C, DETROIT, MI 48201(313) 745-5416 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ishan Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISHAN PATEL MD (NPI 1053931493) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053931493

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISHAN PATELCredential: MD

Location Address4201 ST. ANTOINE ST, UHC-9CDetroit, MI 48201

Mailing Address7733 Woodward AveDetroit, MI 48202-2819 · (734) 512-7777

Phone(313) 745-5416

Sole ProprietorNo

Enumeration DateApril 24, 2020

NPPES CertifiedApril 24, 2020

✔ NPI 1053931493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 ST. ANTOINE ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ishan Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.