Individual provider Active NPI

Vipul R Patel, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1073582151
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8351 Issued in FL
Practice address
6947 Merrill Rd
Jacksonville, FL 32277-2684
Phone
(904) 743-2222
Fax
(904) 743-3087
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8351 FL Primary

Addresses

Primary practice location

6947 Merrill Rd
Jacksonville, FL 32277-2684

Mailing address

6947 Merrill Rd
Jacksonville, FL 32277-2684
Phone (904) 743-2222

Other identifiers 3

IdentifierTypeStateIssuer
350056717OtherFLMEDICARE RAILROAD
70147OtherFLBLUE CROSS/BLUESHIELD
381498000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000406 FL Practitioner - Chiropractic 6204914591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8351FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
River City Medical Associates Inc Chiropractor CurrentSince Mar 1, 2007 Accepting new patients
River City Primary & Urgent Care Past Accepting new patients
Absolute Imaging Network,LLC. Past Accepting new patients
River City Medical Associates, Inc Past Accepting new patients
Orthopedic & Neurosurgery Partners LLC PastSince Mar 16, 2013 Accepting new patients
Arlington Chiropractic Clinic,Inc Chiropractor Past Accepting new patients

Locations

644 Cesery Blvd
Ste 330
Jacksonville, FL 32211

6947 Merrill Rd
Jacksonville, FL 32277
Phone (904) 387-7484

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1073582151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772684",
            "telephone_number": "904-743-2222",
            "fax_number": "904-743-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6947 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772684",
            "telephone_number": "904-743-2222",
            "fax_number": "904-743-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350056717",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "70147",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381498000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.