Organization Active NPI

Family & Internal Medical CNTR

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1104917145
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY & INTERNAL MEDICAL CNTR
Practice address
2020 S Independence Blvd
Virginia Beach, VA 23453-4776
Phone
(757) 471-3100
Fax
(757) 471-3624
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Jitendra Patel, M.D.
Title
Physician
Phone
(757) 471-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2020 S Independence Blvd
Virginia Beach, VA 23453-4776

Mailing address

1708 Merchants Hope CT
Virginia Beach, VA 23455-7012

Other identifiers 1

IdentifierTypeStateIssuer
6058948MedicaidVA

National Provider Directory

National Provider Directory

Locations

2020 S Independence Blvd
Virginia Beach, VA 23453
Phone (757) 471-3100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1104917145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MERCHANTS HOPE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-471-3100",
            "fax_number": "757-471-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & INTERNAL MEDICAL CNTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-471-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6058948",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.