Jay Krishnavadan Patel, MB.CHB

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

278088 Issued in NC

Practice address

309 New St
Carolina Kidney Associates
Greensboro, NC 27405-3654

Phone

(336) 379-9708

Fax

(336) 553-2085

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Kidney Associates PAGroup PAC ID 8628979952, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Bma of Burlington Inc Dialysis facility, Burlington, NC, CCN 342533
• Fresenius Kidney Care Sandy Ridge Dialysis Dialysis facility, Greensboro, NC, CCN 342777
• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
• Randolph Hospital Hospital, Asheboro, NC, CCN 340123

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10065404
• Direct secure messaging: jaypatel@cka.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Kidney Associates PA

  • Nephrology Physician
  • Greensboro, NC
  • NPI 1700831799
  Medicare reassignment Care Compare group NPD
• Carolina Kidney Associates

  • Nephrology Physician
  • Asheboro, NC
  • NPI 1053367086
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of North Carolina, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, NC
  • NPI 1104938935

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of North Carolina, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greensboro, NC
  • NPI 1558157545

  Dialysis facility

  Care Compare affiliation Name & address match
• American Healthcare Systems, LLC

  • General Acute Care Hospital
  • Asheboro, NC
  • NPI 1942895081
  Care Compare affiliation
• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1013034727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW ST",
            "address_2": "CAROLINA KIDNEY ASSOCIATES",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-553-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NEW ST",
            "address_2": "CAROLINA KIDNEY ASSOCIATES",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-553-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "KRISHNAVADAN",
        "name_prefix": "Dr.",
        "credential": "MB.CHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "121946",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "278088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA KIDNEY'S TAX ID",
            "identifier": "56-1274347",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908623",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00905301",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dilesh Harshad Patel, DMD
• Dipam Harshadbai Patel, PT
• Donika Patel
• Dylan Patel
• Hetal Patel, M.D.
• Kayen Kiran Patel, DDS
• Kevin Patel
• Kinjalben Patel, MD
• Kishan Patel
• Kunjan B Patel

• Nephrology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.