DR. URESH SURESHBHAI PATEL MD
NPI 1811924699
Radiology - Neuroradiology in Lynnwood, WA
NPI Status: Active since June 27, 2006
Contact Information
19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036
Phone: (425) 563-1500
Fax: (425) 563-1501
- Individual
- Male
- Radiology
- Neuroradiology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About URESH PATEL
This page provides the complete NPI Profile along with additional information for Uresh Patel, a provider established in Lynnwood, Washington with a medical specialization in Radiology, focusing in neuroradiology . The healthcare provider is registered in the NPI registry with number 1811924699 assigned on June 2006. The practitioner's primary taxonomy code is 2085N0700X with license number MD00040885 (WA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1811924699
- Provider Name
- DR. URESH SURESHBHAI PATEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 19020 33RD AVE W STE 210 LYNNWOOD, WA 98036
- Location Phone
- (425) 563-1500
- Location Fax
- (425) 563-1501
- Mailing Address
- 19020 33RD AVE W STE 210 LYNNWOOD, WA 98036
- Mailing Phone
- (425) 563-1500
- Mailing Fax
- (425) 563-1501
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-27-2006
- Last Update Date
- 03-29-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Neuroradiology
- Taxonomy Code
- 2085N0700X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00040885
- License State
- WA
- Taxonomy Description
- A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | MD00040885 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0366255 | OTHER (01) | WA | L&I-RADIA KING COUNTY |
| 0366257 | OTHER (01) | WA | L&I-EVERGREEN RADIA |
| 0366256 | OTHER (01) | WA | L&I-SWEDISH RADIA EDMONDS |
| 1019590 | MEDICAID (05) | WA | |
| 0366254 | OTHER (01) | WA | L&I-RADIA REST OF WA |
| 8297954 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Uresh Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mri scan of brain before and after contrast
Mri scan of brain before and after contrast
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
This service was performed 38 times for 37 patientsAn MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
This service was performed 17 times for 17 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for DR. URESH SURESHBHAI PATEL MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811924699, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811924699, enumerated as an "individual" on June 27, 2006.
The provider is located at 19020 33RD AVE W STE 210 LYNNWOOD, WA 98036 and the phone number is (425) 563-1500.
Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.
The provider might be accepting Accepts: CareSource, Premera Blue Cross Blue Shield of. Please consult your insurance carrier or call the provider to verify.
