Organization Active NPI

Rahul D Patil MD PSC

  • Internal Medicine Physician
  • Ironton, OH
National Provider Identifier
1053372094
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35068808 Issued in OH
Legal business name
RAHUL D PATIL MD PSC
Practice address
2412 S 6TH St
Ironton, OH 45638-2631
Phone
(740) 532-5141
Fax
(740) 532-6737
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Rahul D Patil, MDNPI 1013995794
Title
Ceo/President
Phone
(740) 532-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35068808 OH Primary

Addresses

Primary practice location

2412 S 6TH St
Ironton, OH 45638-2631

Mailing address

PO Box 98
Ironton, OH 45638-0098
Phone (740) 532-5141

Other identifiers 3

IdentifierTypeStateIssuer
2525182MedicaidOH
65942179MedicaidKY
DC3997OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

813 Marion Pike
Ironton, OH 45638
Phone (606) 325-9769

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1053372094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456380098",
            "telephone_number": "740-532-5141",
            "fax_number": "740-532-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 S 6TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382631",
            "telephone_number": "740-532-5141",
            "fax_number": "740-532-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL D PATIL MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "740-532-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35068808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2525182",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942179",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.