Mahendra M Patel, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17871 Issued in KY

Practice address

105 Financial PL Ste 105
Elizabethtown, KY 42701-8437

Phone

(270) 765-5112

Fax

(270) 737-9252

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Kentucky Dialysis Centers LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Radcliff, KY
  • NPI 1144508839
  NPD (past)
• Meridia Medical Group, LLC

  • Specialist
  • Warrensville Heights, OH
  • NPI 1316992944

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1043389885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FINANCIAL PL STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018437",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FINANCIAL PL STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018437",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAHENDRA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "17871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64178718",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deric D Parrish, PT, DPT
• Jessica Parrish, COTA/L
• Kenneth Dwayne Parrish, DMD. PHD.
• Dhvani Patel, LCSW
• Jahin Patel, MD
• Pooja Patel
• Pathe Psychiatry, LLC
• Patient Centered Healthcare PLLC
• Cristina Villanueva Patrick, OD
• Tara Leanne Patrick

• Nephrology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.

Verify at the official NPI Registry.