Nishant Rajesh Patel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N5935 Issued in TX

Practice address

541 Silicon Dr Ste 102
Southlake, TX 76092-7565

Phone

(817) 539-6819

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 29, 2020 through Jun 29, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1013160647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SILICON DR STE 102",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SILICON DR STE 102",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927565",
            "telephone_number": "817-539-6819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 SE 8th St",
            "address_2": "Suite #105",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980046455",
            "country_code": "US",
            "telephone_number": "425-454-0255",
            "fax_number": "425-454-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHANT",
        "middle_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "60132731",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N5935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falguni Ketan Patel, LVN
• Kalpesh L. Patel, L.AC.
• Luv Patel, M.D.
• Nainesh M Patel, RPH
• Neil N Patel, MD
• Roshni Patel
• Pragya Pathak, PMHNP-C
• Alexia Patterson, BCBA
• Allison Jane Patterson
• Emily Paige Patterson

• Psychiatry Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.