Viraj S Patel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01063921A Issued in IN

Practice address

1904 Lake Ave
Plymouth, IN 46563-7828

Phone

(574) 936-3178

Fax

(574) 936-1084

NPI assigned

Apr 10, 2007

Last updated

Feb 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN, IL, OH, MD, KY, PA, VA, FL8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: viraj.patel.1@24172.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  IN, KY

  Medicare reassignment NPD
• United Care Team LLC

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1679278063

  VA

  Medicare reassignment NPD
• United Care Team PLLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1639859549
  Medicare reassignment NPD
• United Wound Care Institute-Illinois

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1669257440
  Medicare reassignment NPD
• United Woundcare Institute Kentucky PLLC

  • Hospitalist Physician
  • Lexington, KY
  • NPI 1568288553
  Medicare reassignment NPD
• United Woundcare Institute Pennsylvania PLLC

  • Hospitalist Physician
  • Bala Cynwyd, PA
  • NPI 1386460764
  Medicare reassignment NPD
• Patel Familymedicine

  dba Plymouth Family Medicine

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1417265349
  NPD Authorized official
• Patel Family Medicine LLC

  dba Family Medicine Center of Plymouth

  • Clinic/Center
  • Plymouth, IN
  • NPI 1225348584
  Medicare reassignment
• United Wound & Vascular Institute Ohio PLLC

  • Family Medicine Physician
  • Independence, OH
  • NPI 1477311959
  Medicare reassignment
• Michiana Hospitalist LLC

  • Internal Medicine Physician
  • Granger, IN
  • NPI 1104985464
  NPD (past)
• Neuro Oversight LLC

  • Neurological Surgery Physician
  • Homewood, IL
  • NPI 1821498718
  NPD (past)
• Nuwave Monitoring, LLC

  • Neurology Physician
  • Homewood, IL
  • NPI 1205073624
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1093938979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 LAKE AVE",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637828",
            "telephone_number": "574-936-3178",
            "fax_number": "574-936-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 LAKE AVE",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637828",
            "telephone_number": "574-936-3178",
            "fax_number": "574-936-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIRAJ",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01063921A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868150",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF INDIANA",
            "identifier": "000000637334",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000669772",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Overmyer
• John Thomas Palaika, PHARMD
• Laurel Park
• Venessa Partridge
• Patel Family Medicine LLC (Family Medicine Center of Plymouth)
• Amy Patterson, LCSW
• Katherine Patton
• Brittany Pedavoli
• Adam Eric Perlmutter, DO
• Kelsey Perry

• Family Medicine Physician in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.