Individual provider Active NPI

Amit Vipin Patel, M.D.

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1134417660
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2019-01520 Issued in NC
Practice address
4201 Lake Boone TRL Ste 104
Raleigh, NC 27607-7511
Phone
(919) 881-0160
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2019-01520 NC Primary

Addresses

Primary practice location

4201 Lake Boone TRL Ste 104
Raleigh, NC 27607-7511

Mailing address

1821 Hillandale Rd Ste 25C
Durham, NC 27705-2671

Other practice location 1

1821 Hillandale Rd Ste 25C
Durham, NC 27705-2671
Phone (919) 220-5510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apatel789475@direct.UNC.nchie.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191104002425 NC Practitioner - Cardiovascular Disease (Cardiology) 0042580342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 104
Raleigh, NC 27607-7511
Phone (919) 881-0160

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Johnston Health Hospital, Smithfield, NC, CCN 340090
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients

Locations

781 Avent Ferry Rd
Ste 212
Holly Springs, NC 27540
Phone (984) 974-4010

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4201 Lake Boone Trl
Ste 104
Raleigh, NC 27607
Phone (919) 881-0160

10208 Cerny St
Ste 106
Raleigh, NC 27617
Phone (984) 215-4540

Interoperability endpoints

  • Direct secure messaging: apatel436827@direct.medicine.duke.edu

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 6

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1134417660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 25C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052671",
            "fax_number": "919-220-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-881-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Hillandale Rd Ste 25C",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052671",
            "country_code": "US",
            "telephone_number": "919-220-5510",
            "fax_number": "919-220-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMIT",
        "middle_name": "VIPIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2019-01520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatel789475@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "4201 Lake Boone Trl Ste 104",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.