SUMIT PATEL
NPI 1285896498
Physical Medicine & Rehabilitation in Ridley Park, PA

Active since June 29, 2008PECOS Enrolled
175 E CHESTER PIKE, RIDLEY PARK, PA 19078(201) 982-5546 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 10, 2022, Sep 23, 2016 (2 updates tracked since 2016).

About Sumit Patel NPPES

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

SUMIT PATEL (NPI 1285896498) is an individual physical medicine & rehabilitation provider in Ridley Park, Pennsylvania, licensed in Pennsylvania (MD449114) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285896498
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameSUMIT PATEL
Location Address175 E CHESTER PIKERidley Park, PA 19078-2284
Mailing Address1817 E York St, Suite 304Philadelphia, PA 19125
Sole ProprietorNo
Enumeration DateJune 29, 2008
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1285896498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in PA · MD449114
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
175 E CHESTER PIKE, Ridley Park, PA 19078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumit Patel 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
795 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
603 services97 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
235 services205 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
81 services76 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers13 claims13 services$42.81 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers11 claims11 services$41.45 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier22 claims22 services$6.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$20.67 avg. paid by Medicare
Residual limb support system for wheelchair, any type E1020
DME-Wheelchairs · category DD021N
1 supplier27 claims27 services$11.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$114.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Emergency Medicine
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Anesthesiology
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Nurse Anesthetist, Certified Registered
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Hospitalist
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Radiology (Diagnostic Ultrasound)
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Hospitalist
175 E CHESTER PIKE
RIDLEY PARK, PA 19078
Hospitalist
175 E CHESTER PIKE
RIDLEY PARK, PA 19078

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 Sumit Patel's NPI number?

The NPI number for Sumit Patel is 1285896498. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Where is Sumit Patel located?

Sumit Patel practices at 175 E Chester Pike, Ridley Park, PA 19078. The listed phone number is (201) 982-5546.

What is Sumit Patel's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Sumit Patel enrolled in Medicare?

Yes. Sumit Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sumit Patel was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.