ANISHA D. PATEL DO
NPI 1851628358
Pediatrics - Pediatric Endocrinology in New Haven, CT
NPI Status: Active since November 04, 2009
Contact Information
1 LONG WHARF DR
2ND FLOOR
NEW HAVEN, CT
ZIP 06511
Phone: (203) 785-5809
Fax: (203) 764-9149
- Individual
- Female
- Pediatrics
- Pediatric Endocrinology
- PECOS Enrolled
About ANISHA PATEL
This page provides the complete NPI Profile along with additional information for Anisha Patel, a pediatrician established in New Haven, Connecticut with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1851628358 assigned on November 2009. The practitioner's primary taxonomy code is 2080P0205X with license number 045163 (CT). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1851628358
- Provider Name
- ANISHA D. PATEL DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 LONG WHARF DR 2ND FLOOR NEW HAVEN, CT 06511
- Location Phone
- (203) 785-5809
- Location Fax
- (203) 764-9149
- Mailing Address
- 1 LONG WHARF DR SUITE 503 NEW HAVEN, CT 06511
- Mailing Phone
- (203) 785-5809
- Mailing Fax
- (203) 764-9149
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-04-2009
- Last Update Date
- 08-22-2016
- Code Navigator
A pediatrician like Anisha Patel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 045163
- License State
- CT
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Medicare Participation & PECOS Enrollment Status
Anisha 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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06511 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 5 | 1 | 6 | 2 | 8 | 3 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 12 | 2 | 16 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 1 + 2 + 2 + 1 + 6 + 3 + 1 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1851628358 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346271749 | GORDON STROTHERS MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (860) 664-0126 |
| 1760414965 | SUSAN P. HENRY R.N. Individual | Registered Nurse | 1 LONG WHARF DR SUITE 321 NEW HAVEN, CT 06511 (203) 781-4640 |
| 1346267200 | RONALD H HIROKAWA MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 865-6391 |
| 1225055064 | KEN YANAGISAWA MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 787-4244 |
| 1891716502 | KEAT-JIN LEE MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 777-4005 |
| 1649292566 | PAUL L FORTGANG MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 865-1185 |
| 1306868229 | HOWARD P BOEY MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 787-4951 |
| 1619991015 | EATON CHEN MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 865-4314 |
| 1295749752 | JOHN M WILLETT MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 624-2689 |
| 1144230749 | MARK A DAGOSTINO MD Individual | Otolaryngology | 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 (203) 776-1288 |
| 1295844819 | JANINA M GILO APRN Individual | Nurse Practitioner (Family) | 1 LONG WHARF DR SUITE 210, YALE PEDIATRIC ALLERGY & IMMUNOLOGY NEW HAVEN, CT 06511 (203) 785-4081 |
| 1053534727 | DR. BARRY A ROTHMAN DDS Individual | Dentist (General Practice) | 1 LONG WHARF DR SUITE 221 NEW HAVEN, CT 06511 (203) 781-4288 |
| 1205059888 | DR. MARC D LERMAN DMD Individual | Dentist (General Practice) | 1 LONG WHARF DR SUITE 221 NEW HAVEN, CT 06511 (203) 781-4288 |
| 1053519355 | MS. JACQUELINE M MURPHY R.PH. Individual | Pharmacist | 1 LONG WHARF DR HANCOCK PHARMACY AT LONG WHARF NEW HAVEN, CT 06511 (203) 787-9908 |
| 1134413636 | BIOMETRICS INC Organization | Prosthetic/Orthotic Supplier | 1 LONG WHARF DR SUITE 400 NEW HAVEN, CT 06511 (203) 562-0123 |
| 1295003986 | PEGGY A WHELAN Individual | Counselor (Addiction (Substance Use Disorder)) | 1 LONG WHARF DR STE 10 NEW HAVEN, CT 06511 (203) 781-4600 |
| 1194961961 | MR. LUKE J. GILLERAN MA, NCC, LACD, CCDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1 LONG WHARF DR SUITE 321 NEW HAVEN, CT 06511 (203) 781-4357 |
| 1043588825 | STUART M BAKER LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1 LONG WHARF DR STE 10 NEW HAVEN, CT 06511 (203) 781-4600 |
| 1598005928 | DR. LISA M FUCITO PHD Individual | Psychologist (Clinical) | 1 LONG WHARF DR NEW HAVEN, CT 06511 (203) 974-5759 |
| 1568704104 | BRIAN D KILUK PH.D. Individual | Psychologist | 1 LONG WHARF DR SUBSTANCE ABUSE TREATMENT UNIT (SATU) NEW HAVEN, CT 06511 (203) 974-5736 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851628358, enumerated in the NPI registry as an "individual" on November 04, 2009
The provider is located at 1 Long Wharf Dr 2nd Floor New Haven, Ct 06511 and the phone number is (203) 785-5809
The provider's speciality is Pediatrics with taxonomy code 2080P0205X with a focus in Pediatric Endocrinology
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $138.84 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 04, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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