Organization Active NPI

Internal Medicine and Preventive Care, PC

  • Internal Medicine Physician
  • Taunton, MA
National Provider Identifier
1013961689
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE AND PREVENTIVE CARE, PC
Practice address
233 Winthrop St
Taunton, MA 02780-4428
Phone
(508) 880-0070
Fax
(508) 880-2989
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Priti Patel, MDNPI 1013986884
Title
President
Phone
(508) 880-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

233 Winthrop St
Taunton, MA 02780-4428

Mailing address

PO Box 845406
Boston, MA 02284-5406
Phone (508) 880-0070

Other identifiers 1

IdentifierTypeStateIssuer
9732284MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000969 MA Part B Supplier - Clinic/Group Practice 0840249264 Receives reassigned benefits from 2 practitioners
Practice locations: Taunton, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1030094Internal Medicine & Preventive Care PC233 Winthrop Street, Taunton, MA 02780Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1013961689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845406",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022845406",
            "telephone_number": "508-880-0070",
            "fax_number": "508-880-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WINTHROP ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804428",
            "telephone_number": "508-880-0070",
            "fax_number": "508-880-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND PREVENTIVE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-880-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9732284",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.