Active NPI
Rajesh G Patel, MD
- Specialist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13294
- Practice address
- 1200 N State St
Suite 480
Jackson, MS 39202-2001 - Phone
- (601) 352-2273
- Fax
- (601) 714-3415
- NPI assigned
- Sep 7, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 13294 | MS | Primary |
Addresses
Primary practice location
1200 N State St
Suite 480
Jackson, MS 39202-2001
Mailing address
1860 Chadwick Dr
Ste 105
Jackson, MS 39204-3465
Phone (601) 376-2982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00121687 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Mississippi School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1860 Chadwick Dr
Suite 203
Jackson, MS 39204-3466
Phone (601) 376-2982
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Pulmonary Associates, PA | Current | Accepting new patients | |
| Rajesh G Patel MD PLLC | Current | Accepting new patients | |
| Radiological Group, PA | Specialist | Past | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1860 Chadwick Dr
Ste 203
Jackson, MS 39204
Phone (601) 376-1259
1860 Chadwick Dr
Ste 105
Jackson, MS 39204
Phone (601) 376-2192
971 Lakeland Dr
Ste 1052
Jackson, MS 39216
Phone (601) 981-9503
Interoperability endpoints
- rajesh.patel@8922.chartlogic.direct-ci.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.323
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Jackson, MS
- NPI 1639478175
-
- Pulmonary Disease Physician
- Jackson, MS
- NPI 1174570584
-
- Specialist
- Jackson, MS
- NPI 1346398625
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1033163092
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1144214925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 CHADWICK DR",
"address_2": "STE 105",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043465",
"telephone_number": "601-376-2982",
"fax_number": "601-376-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "SUITE 480",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022001",
"telephone_number": "601-352-2273",
"fax_number": "601-714-3415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJESH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "13294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121687",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.