NPIMap

Organization Active NPI

Patel Internal Medicine,P.C.

  • Internal Medicine Physician
  • Bethalto, IL
National Provider Identifier
1134320096
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-073335 Issued in IL
Legal business name
PATEL INTERNAL MEDICINE,P.C.
Practice address
404 W Bethalto Dr
Bethalto, IL 62010-1700
Phone
(618) 377-6410
NPI assigned
May 29, 2007
Last updated
Feb 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

Authorized official

Name
Dr. Rajnikant Kantilal Patel, M.D.NPI 1770570095
Title
President
Phone
(618) 377-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-073335 IL Primary

Addresses

Primary practice location

404 W Bethalto Dr
Bethalto, IL 62010-1700

Mailing address

404 W Bethalto Dr
Bethalto, IL 62010-1700
Phone (618) 377-6410

National Provider Directory

National Provider Directory

Locations

404 W Bethalto Dr
Bethalto, IL 62010
Phone (618) 377-0303

961 E Airline Dr
East Alton, IL 62024
Phone (618) 259-5273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1134320096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W BETHALTO DR",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101700",
            "telephone_number": "618-377-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W BETHALTO DR",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101700",
            "telephone_number": "618-377-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL INTERNAL MEDICINE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJNIKANT",
        "authorized_official_middle_name": "KANTILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-377-6410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-073335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethalto, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.