Active NPI
Vipin S Patel, MD
- Vascular & Interventional Radiology Physician
- Flowood, MS
National Provider Identifier
1093731895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 09716
- Practice address
- 1010 Lakeland Square Ext Ste B
Flowood, MS 39232-7607 - Phone
- (601) 936-0890
- Fax
- (601) 936-0891
- NPI assigned
- Jul 14, 2006
- Last updated
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 09716 | MS | Primary |
Addresses
Primary practice location
1010 Lakeland Square Ext Ste B
Flowood, MS 39232-7607
Mailing address
40 Valley Stream Pkwy Ste 100
Malvern, PA 19355-1407
Phone (610) 644-8900
Other practice location 1
1500 E Woodrow Wilson Ave
Department of Radiology, V a Hospital
Jackson, MS 39216-5116
Phone (601) 364-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05331232 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- vipin.patel.d1.p66@direct.aac.nextgenshare.com
- vipin.patel.p77@direct.aac.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1093731895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 VALLEY STREAM PKWY STE 100",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551407",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LAKELAND SQUARE EXT STE B",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327607",
"telephone_number": "601-936-0890",
"fax_number": "601-936-0891"
}
],
"practiceLocations": [
{
"address_1": "1500 E Woodrow Wilson Ave",
"address_2": "DEPARTMENT OF RADIOLOGY, V A HOSPITAL",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392165116",
"country_code": "US",
"telephone_number": "601-364-1331",
"fax_number": "601-364-1589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "VIPIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MS",
"license": "09716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05331232",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.