Nikunj Patel, MD
Individual provider Active NPI Family Medicine Physician · Norton, VA
NPI 1083348528 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1083348528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0116037250 (VA)
- Practice address
- 295 Wharton LN NE
Norton, VA 24273-1541 - Phone
- (276) 679-0321
- NPI assigned
- Jul 11, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Internal Medicine of West Michigan PLLC
Practice addresses (Care Compare)
3200 Eagle Park Dr NE
Suite 102
Grand Rapids, MI 49525-7057
Phone (616) 285-9090
Hospital & facility affiliations
- Spectrum Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251110002435 | MI | Practitioner - Family Practice | 4587154299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116037250 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of West Michigan PLLC | Current |
Accepting new patients |
Locations
3200 Eagle Park Dr NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 285-8098
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116037250 | VA | Yes |
Addresses
Primary practice location
295 Wharton LN NE
Norton, VA 24273-1541
Mailing address
295 Wharton LN NE
Norton, VA 24273-1541
Other providers in Norton, VA
- Sarensa Palikhey
- Spyros Panos
- Raymond Paria
- Parmod K Sapra MD,PC
- Mkrtich Patatanyan
- Akin Pekel
- Heather R Penniman
- Pikeville Medical Center Inc.
- Kimberly Nicole Pilkenton
- Planning District One Behavioral Health Services
All providers in Norton, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.