Active NPI
Bharatkumar D Patel, MD
- Internal Medicine Physician
- Fairmount, IN
National Provider Identifier
1043291644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01031734A
- Practice address
- 157 W 8TH St
Fairmount, IN 46928-1012 - Phone
- (765) 660-7880
- Fax
- (765) 671-3507
- NPI assigned
- Nov 10, 2005
- Last updated
- May 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01031734A | IN | Primary |
Addresses
Primary practice location
157 W 8TH St
Fairmount, IN 46928-1012
Mailing address
330 North Wabash Ave
Suite G20
Marion, IN 46952-2600
Phone (765) 660-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000108712 | Other | IN | ANTHEM BCBS |
| 100171640A | Medicaid | IN |
Other names 1
- B. D. Patel
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031734A | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1043291644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 NORTH WABASH AVE",
"address_2": "SUITE G20",
"city": "MARION",
"state": "IN",
"postal_code": "469522600",
"telephone_number": "765-660-7600",
"fax_number": "765-651-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 W 8TH ST",
"city": "FAIRMOUNT",
"state": "IN",
"postal_code": "469281012",
"telephone_number": "765-660-7880",
"fax_number": "765-671-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHARATKUMAR",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01031734A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000108712",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100171640A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "B.",
"last_name": "PATEL",
"middle_name": "D.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fairmount, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.