Look up the most recent NPI and PECOS records

Anisha Indravadan Patel

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ANISHA PATEL.

Based on the most recent information from CMS, provider Anisha Indravadan Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1295744076
Provider Type
Individual
Full Name
Patel, Anisha Indravadan
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/7/2006
Last Updated
4/10/2024

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Mailing Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A84097 California

Provider Identifiers

ID	Description	Issuer
ID GR0053510	Description Medicaid	Issuer Unlisted California

Anisha Indravadan Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Espinoza, Sylvia

Chi, Kevin Wei-Han

Hammer, Lawrence David

Mckenzie, Rebecca Berquist

Yeh, Debra Jing

Fiero, Marie Louise

King, Benjamin N

Jalan, Somya

Lucero, Cynthia Ann

Holsinger, Erin E