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DR. SANDIPKUMAR PATEL OD
NPI 1053973859
Optometrist in East Northport, NY

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
4000 JERICHO TPKE, EAST NORTHPORT, NY 11731(770) 822-3600 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandipkumar Patel Od NPPES

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

DR. SANDIPKUMAR PATEL OD (NPI 1053973859) is an individual optometrist in East Northport, New York, licensed in New York (008989) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2019).

NPPES Registry Identity

NPI1053973859
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SANDIPKUMAR PATELCredential: OD
Location Address4000 JERICHO TPKEEast Northport, NY 11731-6285
Mailing Address8 W Warren StIselin, NJ 08830-1136 · (617) 413-4121
Phone(770) 822-3600
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2019
Enumeration DateJuly 1, 2019
✔ NPI 1053973859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 008989
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4000 JERICHO TPKE, East Northport, NY 11731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandipkumar Patel Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264966332
PECOS Enrollment IDI20241112002023
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONAL VISION INC
Optometrist
4000 JERICHO TPKE
EAST NORTHPORT, NY 11731
Suffolk County (631) 623-4511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandipkumar Patel's NPI number?

The NPI number for Sandipkumar Patel is 1053973859. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Sandipkumar Patel located?

Sandipkumar Patel practices at 4000 Jericho Tpke, East Northport, NY 11731. The listed phone number is (770) 822-3600.

What is Sandipkumar Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sandipkumar Patel enrolled in Medicare?

Yes. Sandipkumar Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandipkumar Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Sandipkumar Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandipkumar Patel was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.