NPIMap

Individual provider Active NPI

Ajay Patel, M.D.

  • Internal Medicine Physician
  • Saint Albans, WV
National Provider Identifier
1023078912
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20391 Issued in WV
Practice address
450 2ND St
Saint Albans, WV 25177-2857
Phone
(304) 727-0016
Fax
(304) 727-2929
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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 20391 WV Primary

Addresses

Primary practice location

450 2ND St
Saint Albans, WV 25177-2857

Mailing address

450 2ND St
Saint Albans, WV 25177-2857
Phone (304) 727-0016

Other identifiers 1

IdentifierTypeStateIssuer
1804439000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20041116000248 WV Practitioner - Internal Medicine 8123082666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

450 2ND St
St Albans, WV 25177-2857
Phone (304) 727-0016

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20391WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay T Patel MD Inc Internal Medicine CurrentSince Sep 23, 2004 Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients

Locations

450 2nd St
Saint Albans, WV 25177
Phone (304) 727-0016

Interoperability endpoints

  • Direct secure messaging: apatel@apatelmd.ehi.direct-ci.com

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1023078912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 2ND ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772857",
            "telephone_number": "304-727-0016",
            "fax_number": "304-727-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 2ND ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772857",
            "telephone_number": "304-727-0016",
            "fax_number": "304-727-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "20391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1804439000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

Verify at the official NPI Registry.