Active NPI
Ila R Patel, M.D.
- Psychiatry Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19559
- Practice address
- 3175 Custer Drive
Suite 200
Lexington, KY 40517-2235 - Phone
- (859) 233-4511
- NPI assigned
- Sep 14, 2006
- Last updated
- Jan 31, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19559 | KY | Primary |
Addresses
Primary practice location
3175 Custer Drive
Suite 200
Lexington, KY 40517-2235
Mailing address
3175 Custer Drive
Suite 200
Lexington, KY 40517
Phone (859) 233-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64195597 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc. | Current | Accepting new patients | |
| Memorial Hospital, Inc. | Current | Accepting new patients | |
| Psychiatric Associates | Psychiatry | Past | Accepting new patients |
Locations
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135
Interoperability endpoints
- ipatel658851@adventhealth.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Manchester
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1255471827
-
dba AdventHealth Red Bird Clinic
- Rural Health Clinic/Center
- Beverly, KY
- NPI 1558665752
-
- Psychiatry Physician
- Lexington, KY
- NPI 1134240393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1043315625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 CUSTER DRIVE",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40517",
"telephone_number": "859-233-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 CUSTER DRIVE",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405172235",
"telephone_number": "859-233-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ILA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "19559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64195597",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.