Kinjal Chirag Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5408 Issued in AR

Practice address

1800 SE Moberly LN Ste 6
Bentonville, AR 72712-7017

Phone

(479) 403-9205

Fax

(479) 268-5144

NPI assigned

Nov 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kinjal Sureshkumar Mandawat Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozark Orthopaedics, P.a.Group PAC ID 2860477189, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
• Direct secure messaging: kinjal.patel.1@18403.direct.athenahealth.com

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.

• Ozark Orthopaedics, P.a.

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
  • NPI 1649210584
  Medicare reassignment Care Compare group NPD
• Ozark Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Siloam Springs, AR
  • NPI 1255164570
  NPD

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1083487854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE MOBERLY LN STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127017",
            "telephone_number": "479-403-9205",
            "fax_number": "479-268-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE MOBERLY LN STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127017",
            "telephone_number": "479-403-9205",
            "fax_number": "479-268-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "middle_name": "CHIRAG",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT-5408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINJAL",
            "last_name": "MANDAWAT",
            "middle_name": "SURESHKUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delaney Partlow
• Lori Lynne Pascoe, LAC
• Matthew M Passaro
• Eric Monroe Pate, MPT
• Yamileth Montoya Pate, DDS
• Madhavi Patel, APN
• Rachel Lea Patterson
• Samuel Logan Patton, MD
• Paul W. Peterson LLC
• Summer Anne Pauling

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.