NPIMap

Individual provider Active NPI

Rajesh J Patel, M.D.

  • Internal Medicine Physician
  • Lock Haven, PA
National Provider Identifier
1013985936
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045497L Issued in PA
Practice address
1 Outlet LN Ste 380
Lock Haven, PA 17745-7814
Phone
(570) 398-1800
Fax
(570) 398-3320
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD045497L PA Primary

Addresses

Primary practice location

1 Outlet LN Ste 380
Lock Haven, PA 17745-7814

Mailing address

1 Outlet LN Ste 380
Lock Haven, PA 17745-7814
Phone (570) 398-1800

Other identifiers 1

IdentifierTypeStateIssuer
0012630150001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000424 PA Practitioner - Internal Medicine 7012094329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lycoming Internal Medicine, Inc.Group PAC ID 3971574799, 2 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Outlet LN
Suite 380
Lock Haven, PA 17745-7814
Phone (570) 398-1800

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
  • Family Hospice Hospice, Williamsport, PA, CCN 391513
  • Geisinger Jersey Shore Hospital Hospital, Jersey Shore, PA, CCN 391300
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Jersey Shore Skilled Nursing and Rehabilitation Ce Nursing home, Jersey Shore, PA, CCN 395359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD045497LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lycoming Internal Medicine, Inc. Internal Medicine CurrentSince Jan 1, 1996 Accepting new patients
1008 Thompson Street Operations LLC Past Accepting new patients

Locations

116 Kerr Ave
Ste B
Jersey Shore, PA 17740
Phone (570) 398-1800

1008 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

116 Kerr Ave
Jersey Shore, PA 17740
Phone (570) 398-1800

1 Outlet Ln
Ste 380
Lock Haven, PA 17745
Phone (570) 398-1800

Interoperability endpoints

  • Direct secure messaging: dr.rajesh.patel@direct.digidms.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Haven Skilled Rehabilitation and NursingLock Haven, PA, CCN 395031 Skilled nursing facility Corporate Director Jan 15, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1013985936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OUTLET LN STE 380",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177457814",
            "telephone_number": "570-398-1800",
            "fax_number": "570-398-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OUTLET LN STE 380",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177457814",
            "telephone_number": "570-398-1800",
            "fax_number": "570-398-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJESH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-07-23",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD045497L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012630150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.