NPIMap

Individual provider Active NPI

Deepak C Patel, MD

  • Internal Medicine Physician
  • Corsicana, TX
National Provider Identifier
1114989910
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6679 Issued in TX
Practice address
400 Hospital Dr
Ste. 101
Corsicana, TX 75110-2489
Phone
(903) 641-3800
Fax
(903) 641-3812
NPI assigned
Apr 5, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 K6679 TX Primary

Addresses

Primary practice location

400 Hospital Dr
Ste. 101
Corsicana, TX 75110-2489

Mailing address

400 Hospital Dr
Suite 111
Corsicana, TX 75110-2489
Phone (903) 641-4895

Other identifiers 2

IdentifierTypeStateIssuer
84071XOtherTXBLUE CROSS
104134502MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deepak.patel.1@1902.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000203 TX Practitioner - Internal Medicine 6800809773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632

3001 W 4TH Ave
Twilight Nursing Home
Corsicana, TX 75110-3913
Phone (903) 872-2521

3002 W 2ND Ave
Heritage Oaks Retirement
Corsicana, TX 75110-2492
Phone (903) 872-5130

400 Hospital Dr
Corsicana, TX 75110-2489

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6679TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Oct 1, 1999 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine CurrentSince Oct 1, 1999 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Country Meadows Health and Rehabilitation LLC Past Accepting new patients
Southwest LTC - Corsicana LLC Past Accepting new patients
Southwest LTC - Corsicana West LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

400 Hospital Dr
Ste 101
Corsicana, TX 75110
Phone (903) 641-3800

400 Hospital Dr
Ste 111
Corsicana, TX 75110

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

Interoperability endpoints

  • Direct secure messaging: deepak.patel.1@1902.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Midlothian Healthcare CenterMidlothian, TX, CCN 676374 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 1, 2024
May 1, 2024
May 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1114989910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR",
            "address_2": "SUITE 111",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-4895",
            "fax_number": "903-641-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR",
            "address_2": "STE. 101",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-3800",
            "fax_number": "903-641-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPAK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "84071X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104134502",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deepak.patel.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "400 Hospital Dr",
            "address_2": "Ste. 101",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751102489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.