Active NPI
Vikul Vinodbhai Patel, M.D.
- Nephrology Physician
- Chattanooga, TN
National Provider Identifier
1033230446
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 19, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD0000044317
- Practice address
- 251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2739 - Phone
- (423) 826-8000
- Fax
- (423) 826-8005
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD0000044317 | TN | Primary |
| Nephrology Physician | 207RN0300X | 65873 | GA |
Addresses
Primary practice location
251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2739
Mailing address
2300-B East Third Street
Chattanooga, TN 37404-2700
Phone (423) 702-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513317 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65873 | GA | MD | Nephrology Physician |
| MD0000044317 | TN | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1033230446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300-B EAST THIRD STREET",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042700",
"telephone_number": "423-702-7900",
"fax_number": "423-702-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N LYERLY ST",
"address_2": "SUITE 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042739",
"telephone_number": "423-826-8000",
"fax_number": "423-826-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VIKUL",
"middle_name": "VINODBHAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "MD0000044317",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "65873",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513317",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.