NPIMap

Individual provider Active NPI

Pankaj J Patel, M.D.

  • Pulmonary Disease Physician
  • Midland, TX
National Provider Identifier
1124009766
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K0980 Issued in TX
Practice address
4214 Andrews Hwy
Suite 108
Midland, TX 79703-4822
Phone
(432) 522-5000
Fax
(432) 694-5775
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X K0980 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy
Suite 108
Midland, TX 79703-4822

Mailing address

PO Box 8440
Midland, TX 79708-8440
Phone (432) 522-5000

Other identifiers 3

IdentifierTypeStateIssuer
121131100OtherTXFIRST CARE
0025DDOtherTXBCBS
131218305MedicaidTX

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
I20080219000633 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1951485655 Practice locations: Midland, TX

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3403 Andrews Hwy
Suite 200
Midland, TX 79703-5132
Phone (432) 522-5000

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Midland, TX, CCN 677864
  • Express Nursing Home health agency, Odessa, TX, CCN 679327
  • Midland Health at Home Home health agency, Midland, TX, CCN 743175
  • Star Hospice Hospice, Odessa, TX, CCN 451701
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Martin County Hospital District Hospital, Stanton, TX, CCN 451333
  • Reeves Regional Health Hospital, Pecos, TX, CCN 451377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0980TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland County Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pankaj.patel.1@13966.direct.athenahealth.com

Organizations & group practices 1

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 9

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1124009766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8440",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797088440",
            "telephone_number": "432-522-5000",
            "fax_number": "532-694-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY",
            "address_2": "SUITE 108",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-522-5000",
            "fax_number": "432-694-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PANKAJ",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K0980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "121131100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0025DD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131218305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.