Active NPI
Rajendra A Patel, MD
- Adolescent Medicine (Internal Medicine) Physician
- Xenia, OH
National Provider Identifier
1134127954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 35039279
- Practice address
- 382 N Detroit St
Xenia, OH 45385-2233 - Phone
- (937) 376-4460
- Fax
- (937) 376-3903
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 35039279 | OH | Primary |
Addresses
Primary practice location
382 N Detroit St
Xenia, OH 45385-2233
Mailing address
382 N Detroit St
Xenia, OH 45385-2233
Phone (937) 376-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039279 | OH | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1134127954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 N DETROIT ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852233",
"telephone_number": "937-376-4460",
"fax_number": "937-376-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 N DETROIT ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852233",
"telephone_number": "937-376-4460",
"fax_number": "937-376-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJENDRA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "OH",
"license": "35039279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.