Organization Active NPI

G. N. Patel, M.D., P.C.

  • Gastroenterology Physician
  • Clinton Township, MI
National Provider Identifier
1063738003
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
G. N. PATEL, M.D., P.C.
Practice address
36232 Garfield Rd
Clinton Township, MI 48035-1128
Phone
(586) 228-7568
Fax
(586) 228-7644
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Dr. Ghanshyam N Patel, M.D.NPI 1558360669
Title
Owner/President
Phone
(586) 228-7568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

36232 Garfield Rd
Clinton Township, MI 48035-1128

Mailing address

PO Box 380476
Clinton Township, MI 48038-0066
Phone (586) 228-7568

Other identifiers 2

IdentifierTypeStateIssuer
1032797528MedicaidMI
100E02990OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

36232 Garfield Rd
Clinton Twp, MI 48035
Phone (586) 228-7568

44448 Hayes Rd
Ste C
Clinton Twp, MI 48038
Phone (586) 228-7568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1063738003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380476",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480380066",
            "telephone_number": "586-228-7568",
            "fax_number": "586-228-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36232 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351128",
            "telephone_number": "586-228-7568",
            "fax_number": "586-228-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. N. PATEL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GHANSHYAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "586-228-7568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032797528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "100E02990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.