NPIMap

Individual provider Active NPI

Rajeev Jayendra Patel, M.D.

  • Internal Medicine Physician
  • Texarkana, TX
National Provider Identifier
1114173754
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NUMBER PENDING Issued in TX
Practice address
2604 Saint Michael Dr
Suite 345
Texarkana, TX 75503-2379
Phone
(903) 838-5500
Fax
(903) 614-6140
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NUMBER PENDING TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr
Suite 345
Texarkana, TX 75503-2379

Mailing address

2604 Saint Michael Dr
Suite 345
Texarkana, TX 75503-2379
Phone (903) 838-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141230002119 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4688818719 Reassigns benefits to 1 organization
I20150127000599 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4688818719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

12501 Prosperity Dr
Suite 300
Silver Spring, MD 20904-1699
Phone (301) 634-4800

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3278
Phone (301) 670-3000

19735 Germantown Rd
Suite 190
Germantown, MD 20874-1216
Phone (240) 449-1100

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NUMBER PENDINGTXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Civista Medical Center Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Physician Services (Wah) Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

19735 Germantown Rd
Ste 190
Germantown, MD 20874
Phone (240) 449-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

15225 Shady Grove Rd
Ste 201
Rockville, MD 20850
Phone (301) 670-3000

12501 Prosperity Dr
Ste 300
Silver Spring, MD 20904
Phone (301) 634-4800

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1114173754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR",
            "address_2": "SUITE 345",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032379",
            "telephone_number": "903-838-5500",
            "fax_number": "903-614-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR",
            "address_2": "SUITE 345",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032379",
            "telephone_number": "903-838-5500",
            "fax_number": "903-614-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJEEV",
        "middle_name": "JAYENDRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "NUMBER PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.