FENA PATEL
NPI 1942922745
Physician Assistant in Boston, MA
NPI Status: Active since September 19, 2022
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About FENA PATEL
This page provides the complete NPI Profile along with additional information for Fena Patel, a primary care provider established in Boston, Massachusetts with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1942922745 assigned on September 2022. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1942922745
- Provider Name
- FENA PATEL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 185 PILGRIM RD BOSTON, MA 02215
- Location Phone
- (857) 206-5679
- Mailing Address
- 185 PILGRIM RD BOSTON, MA 02215
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2022
- Last Update Date
- 02-28-2024
- Code Navigator
A primary care provider (PCP) like Fena Patel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Fena 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 02215 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* 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 | 9 | 4 | 2 | 9 | 2 | 2 | 7 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 18 | 2 | 4 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 1 + 8 + 2 + 4 + 7 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1942922745 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1932193851 | DR. DAVID ELI LEEMAN MD Individual | Internal Medicine (Interventional Cardiology) | 185 PILGRIM RD BAKER 4 BOSTON, MA 02215 (617) 632-9204 |
| 1730161142 | DR. JOHN DANZIGER M.D. Individual | Internal Medicine (Nephrology) | 185 PILGRIM RD BOSTON, MA 02215 (617) 632-9880 |
| 1568416592 | JONATHAN FLORMAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 185 PILGRIM RD DEACONESS 1 BOSTON, MA 02215 (617) 632-8469 |
| 1972550440 | THANH L DINH DPM Individual | Podiatrist | 185 PILGRIM RD DIVISION OF PODIATRY BOSTON, MA 02215 (617) 632-8428 |
| 1114974656 | DR. ELIZABETH ROSS DUNN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 185 PILGRIM RD BIDMC, DEACONESS 1 BOSTON, MA 02215 (617) 632-8416 |
| 1013956309 | JOHN M GIURINI DPM Individual | Podiatrist | 185 PILGRIM RD DIVISION OF PODIATRY BOSTON, MA 02215 (617) 632-7071 |
| 1932148962 | BARRY I ROSENBLUM DPM Individual | Podiatrist | 185 PILGRIM RD DIVISION OF PODIATRY BOSTON, MA 02215 (617) 632-7074 |
| 1841239878 | THOMAS E LYONS DPM Individual | Podiatrist | 185 PILGRIM RD DIVISION OF PODIATRY BOSTON, MA 02215 (617) 632-7082 |
| 1316955917 | MRS. OLGA-LARRINE LEVINE L.I.C.S.W. Individual | Social Worker (Clinical) | 185 PILGRIM RD #220 BOSTON, MA 02215 (617) 731-9874 |
| 1316052202 | PAUL HANS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 185 PILGRIM RD BOSTON, MA 02215 (617) 632-8407 |
| 1326119108 | MARY R BURGER M.D. Individual | Pediatrics | 185 PILGRIM RD DEACONESS 307A BOSTON, MA 02215 (617) 632-7671 |
| 1942371612 | MR. TIMOTHY C. WILLIAMS LICSW Individual | Social Worker (Clinical) | 185 PILGRIM RD BOSTON, MA 02215 (617) 632-8865 |
| 1487717005 | ANNEMARIE ANAGNOSTOPOULOS MD Individual | Internal Medicine (Cardiovascular Disease) | 185 PILGRIM RD WEST CAMPUS, BAKER 4 BOSTON, MA 02215 (617) 632-7828 |
| 1770634693 | C BRUCE MCWHORTER MSW Individual | Social Worker (Clinical) | 185 PILGRIM RD BOSTON, MA 02215 (617) 632-7784 |
| 1770781775 | MS. MARIE C BOSAK NP Individual | Nurse Practitioner (Acute Care) | 185 PILGRIM RD BAKER 4 BOSTON, MA 02215 (671) 632-7270 |
| 1497944896 | MRS. CAROL A CONNOLLY NP Individual | Nurse Practitioner | 185 PILGRIM RD BAKER 4, CARDIOLOGY BOSTON, MA 02215 (617) 632-7270 |
| 1548446016 | DEIRDRE MARIE KEOGH NP Individual | Nurse Practitioner (Acute Care) | 185 PILGRIM RD DEACONESS 201 BOSTON, MA 02215 (617) 632-8252 |
| 1821261512 | MR. EVAN ROSS BERG M.D. Individual | Student in an Organized Health Care Education/Training Program | 185 PILGRIM RD DEACONESS 311 BOSTON, MA 02215 (617) 667-7000 |
| 1578739231 | ERIK EDUARDO FOLCH MD, MSC Individual | Internal Medicine (Pulmonary Disease) | 185 PILGRIM RD DEAC 201 BOSTON, MA 02215 (617) 632-8036 |
| 1477719904 | SALEH ALAZEMI Individual | Student in an Organized Health Care Education/Training Program | 185 PILGRIM RD DEACONESS SUITE 116 BOSTON, MA 02215 (617) 632-8060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942922745, enumerated in the NPI registry as an "individual" on September 19, 2022
The provider is located at 185 Pilgrim Rd Boston, Ma 02215 and the phone number is (857) 206-5679
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 19, 2022. 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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