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AMITKUMAR PATEL DMD
NPI 1205246949
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since May 03, 2014Opted out of Medicare · through Dec 4, 2026
3565 KIRKRIDGE ST, SANTA ROSA, CA 95403(707) 486-8532 Get Directions Write a Review

NPPES record last updated: May 3, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amitkumar Patel Dmd NPPES

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

AMITKUMAR PATEL DMD (NPI 1205246949) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since May 2014. He has opted out of Medicare through December 4, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205246949
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAMITKUMAR PATELCredential: DMD
Location Address3565 KIRKRIDGE STSanta Rosa, CA 95403-1776
Mailing Address3565 Kirkridge StSanta Rosa, CA 95403-1776 · (707) 486-8532
Phone(707) 486-8532
Sole ProprietorNo
Enumeration DateMay 3, 2014
✔ NPI 1205246949 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.
3565 KIRKRIDGE ST, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Amitkumar Patel Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 4, 2018 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2018
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Amitkumar Patel's NPI number?

The NPI number for Amitkumar Patel is 1205246949. It was assigned to this individual provider in the NPPES registry on May 3, 2014.

Where is Amitkumar Patel located?

Amitkumar Patel practices at 3565 Kirkridge St, Santa Rosa, CA 95403. The listed phone number is (707) 486-8532.

What is Amitkumar Patel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amitkumar Patel enrolled in Medicare?

No. Amitkumar Patel has opted out of Medicare through December 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amitkumar Patel was last updated on May 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.