Active NPI 1568460343 Individual Practitioner Male Practitioner

Dr. Rakesh B Patel , MD

Specialist • Smithtown, NY

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Rakesh Patel, MD is a registered Specialist practitioner in Smithtown, NY. With approximately 37 years of clinical practice since completing medical education in 1989, Dr. Patel provides healthcare services at the registered practice location at 48 ROUTE 25A.

Dr. Patel is affiliated with Cardiac Ekg Interpretation, P. C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

48 Route 25a
Suite 103

Smithtown, NY 117871431

Telephone 6317847373

Fax 6317847359

Associated Practice Facility / Clinic

🏢 Prohealth Care Associates Llp Facility NPI 1285643650

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Smithtown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

69 Specialists

Practicing in Smithtown, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (37 Years) 37 Yrs

Smithtown Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,805	2,539	$35.86	$8.92
93000 Routine ekg using at least 12 leads including interpretation and report	632	420	$75.00	$15.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	383	$199.00	$138.99
J2785 Injection, regadenoson, 0.1 mg	204	51	$100.00	$6.75
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	194	191	$600.00	$215.92
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	154	77	$200.00	$164.42
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	86	83	$150.00	$78.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	50	$78.96	$61.68
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	77	77	$2500.00	$481.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$298.91	$237.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	30	30	$223.00	$74.10
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	28	23	$30.00	$15.66
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$150.00	$99.11
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	20	20	$1000.00	$257.80
93567 Injection for X-ray imaging of aorta above heart valve	17	17	$300.00	$41.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	14	$200.00	$139.99
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	11	11	$150.00	$13.77
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	11	11	$150.00	$23.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	4,014	2,491	$38.46	$9.23
93000 Routine ekg using at least 12 leads including interpretation and report	629	420	$75.00	$17.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	380	$160.00	$147.64
J2785 Injection, regadenoson, 0.1 mg	300	75	$100.00	$52.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	173	168	$600.00	$230.89
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	162	81	$200.00	$175.61
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	105	104	$150.00	$82.50
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	85	84	$224.00	$74.83
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	82	82	$2500.00	$519.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	51	$60.00	$59.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$250.00	$246.29
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	29	21	$30.00	$17.19
93567 Injection for X-ray imaging of aorta above heart valve	25	25	$300.00	$47.43
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	21	21	$1000.00	$269.73
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	20	20	$150.00	$26.04
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	20	20	$150.00	$14.93
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$90.00	$88.63
93308 Ultrasound of heart, follow-up	12	12	$82.00	$27.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,473	2,231	$39.28	$9.60
93000 Routine ekg using at least 12 leads including interpretation and report	624	415	$75.00	$17.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	521	382	$160.17	$150.63
J2785 Injection, regadenoson, 0.1 mg	192	48	$100.00	$60.80
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	171	164	$600.00	$239.24
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	124	62	$200.00	$122.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	93	92	$232.00	$78.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	62	$60.00	$58.97
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	76	74	$150.00	$84.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	73	73	$250.00	$245.78
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	39	39	$2500.00	$562.94
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$90.00	$89.22
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	25	25	$1000.00	$251.77
93567 Injection for X-ray imaging of aorta above heart valve	22	22	$300.00	$69.38
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	21	21	$600.00	$229.84
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	21	21	$75.00	$24.64
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	21	21	$60.00	$16.26
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	18	15	$1700.00	$809.75
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	18	18	$150.00	$26.92
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	18	18	$150.00	$18.09
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	15	$30.00	$18.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$300.00	$231.51
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	15	15	$25.00	$8.36
93308 Ultrasound of heart, follow-up	15	15	$84.00	$28.27
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	15	15	$10.00	$3.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,301	2,129	$37.56	$9.76
93000 Routine ekg using at least 12 leads including interpretation and report	616	419	$75.00	$18.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	517	366	$160.00	$154.50
J2785 Injection, regadenoson, 0.1 mg	220	55	$100.00	$59.50
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	202	192	$600.00	$247.93
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	140	70	$200.00	$136.97
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	88	83	$150.00	$85.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$250.00	$247.32
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	70	70	$2500.00	$583.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$60.00	$60.00
93567 Injection for X-ray imaging of aorta above heart valve	34	34	$300.00	$69.71
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	34	34	$1000.00	$299.85
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	34	34	$225.00	$80.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$300.00	$235.56
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	29	29	$75.00	$25.14
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	29	29	$600.00	$235.28
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	29	29	$60.00	$16.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	19	$30.00	$18.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	13	$90.00	$90.00
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	18	15	$1700.00	$814.35
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	16	15	$400.00	$91.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,971	2,441	$39.03	$9.89
93000 Routine ekg using at least 12 leads including interpretation and report	665	427	$75.00	$20.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	570	381	$160.00	$129.12
J2785 Injection, regadenoson, 0.1 mg	264	66	$100.00	$59.04
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	215	209	$600.00	$250.24
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	98	96	$150.00	$84.70
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	89	45	$200.00	$133.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	85	85	$250.00	$248.36
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	81	81	$2500.00	$583.81
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	74	37	$200.00	$123.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	33	$60.00	$55.24
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	40	40	$75.00	$25.20
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	40	40	$600.00	$224.24
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	40	40	$60.00	$16.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	32	$300.00	$237.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	32	31	$726.34	$81.91
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$90.00	$86.69
93567 Injection for X-ray imaging of aorta above heart valve	22	22	$300.00	$70.65
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	20	19	$400.00	$99.64
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	16	16	$1000.00	$288.73
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	11	$30.00	$18.24
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	12	11	$60.00	$35.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	4,127	2,572	$38.37	$9.67
93000 Routine ekg using at least 12 leads including interpretation and report	756	470	$75.00	$20.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	417	$160.00	$125.17
J2785 Injection, regadenoson, 0.1 mg	256	64	$100.00	$57.53
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	231	222	$600.00	$242.67
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	152	76	$200.00	$121.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	129	129	$250.00	$239.71
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	95	92	$150.00	$83.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	91	83	$200.00	$81.92
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	76	76	$2500.00	$576.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	42	$60.00	$52.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	43	$300.00	$230.74
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	41	41	$600.00	$220.65
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	41	39	$400.00	$99.18
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	41	41	$60.00	$16.56
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	41	41	$75.00	$25.00
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	40	39	$1000.00	$290.59
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$90.00	$86.14
93567 Injection for X-ray imaging of aorta above heart valve	37	37	$300.00	$67.17
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	21	18	$1700.00	$761.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	17	$30.00	$17.17
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	13	13	$60.00	$32.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,694	2,260	$39.82	$9.33
93000 Routine ekg using at least 12 leads including interpretation and report	777	443	$75.00	$19.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	665	398	$160.14	$120.40
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	238	226	$598.32	$238.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	234	228	$228.85	$79.29
J2785 Injection, regadenoson, 0.1 mg	232	58	$100.00	$55.02
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	138	69	$200.00	$117.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	114	114	$250.00	$233.88
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	90	88	$150.00	$79.93
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	69	69	$2500.00	$563.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	51	$300.00	$225.32
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$90.20	$82.13
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	49	48	$400.00	$97.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$60.00	$50.03
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	34	34	$60.00	$16.03
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	34	34	$600.00	$237.93
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	34	34	$75.00	$24.20
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	21	21	$1000.00	$248.71
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	14	$30.00	$16.21
93567 Injection for X-ray imaging of aorta above heart valve	15	15	$300.00	$65.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,751	2,367	$38.72	$9.59
93000 Routine ekg using at least 12 leads including interpretation and report	753	425	$75.00	$20.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	661	363	$160.02	$124.10
J2785 Injection, regadenoson, 0.1 mg	504	126	$100.00	$54.06
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	298	149	$200.00	$164.79
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	289	270	$598.62	$268.55
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	180	170	$150.95	$88.92
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	172	170	$246.45	$71.10
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	149	149	$2488.29	$578.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	117	117	$250.56	$240.36
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	63	61	$400.00	$102.22
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	55	55	$75.00	$24.58
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	55	55	$600.00	$283.86
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	55	55	$60.00	$16.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	43	$300.00	$232.07
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	36	32	$1000.00	$265.38
93567 Injection for X-ray imaging of aorta above heart valve	28	28	$300.00	$66.87
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$90.00	$84.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	14	$30.00	$16.72
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	16	16	$60.00	$32.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$60.00	$51.10
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	14	11	$1600.00	$701.90
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	11	11	$1700.00	$852.65

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 204473-1

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02155782 (NY)

Hospital & Practice Group Affiliations

Cardiac Ekg Interpretation, P. C.

1000 Montauk Hwy, West Islip, NY 117954927

Phone: 6314656225

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners

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Anesthesiology

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Doctor of Medicine (M.D.)

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Anesthesiology

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Doctor of Osteopathic Medicine (D.O.)

Dr. Carolyn Trunca , PhD

Medical Genetics, Ph.D. Medical Genetics

NPI 1023086030

Doctor of Philosophy (Ph.D.)

Dr. Zvi Alpern , MD

Internal Medicine - Gastroenterology

NPI 1023115748

Doctor of Medicine (M.D.)

Dr. Jeany Pierre-Louis , MD

Anesthesiology

NPI 1093744724

Doctor of Medicine (M.D.)

Dr. Mark Sterling , MD

Specialist

NPI 1114949450

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2014

Registered at 48 ROUTE 25A, SUITE 103, SMITHTOWN, NY 117871431 (Tel: 6317847373)

📍

Updated Business Mailing Address March 17, 2014

Registered at 48 ROUTE 25A, SUITE 103, SMITHTOWN, NY 117871431 (Tel: 6317847373)

👤

Provider Name / Credentials Updated March 17, 2014

Recorded as RAKESH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2014

Specialist (License #204473-1 in NY)

🟢

Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568460343

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2005

Last Update: March 17, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

48 Route 25a, Suite 103

Smithtown, NY 117871431

Phone: 6317847373

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.