NPIMap

Organization Active NPI

Surychandra S Patel

  • Family Medicine Physician
  • Irvington, KY
National Provider Identifier
1144438532
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20984 Issued in KY
Legal business name
SURYCHANDRA S PATEL
Practice address
205 W. US 60
Irvington, KY 40146
Phone
(270) 547-7161
Fax
(270) 547-7163
NPI assigned
May 18, 2007
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Suryachandra S Patel, M.D.NPI 1447393483
Title
Physician
Phone
(270) 547-7161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20984 KY Primary

Addresses

Primary practice location

205 W. US 60
Irvington, KY 40146

Mailing address

PO Box 147
Irvington, KY 40146-0147
Phone (270) 547-7161

Other identifiers 4

IdentifierTypeStateIssuer
DA0854OtherKYRAILROAD MEDICARE
50006015OtherKYPASSPORT
2447302001OtherKYPASSPORT ADVANTAGE
000000058825OtherKYANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1144438532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "401460147",
            "telephone_number": "270-547-7161",
            "fax_number": "270-547-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W. US 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "40146",
            "telephone_number": "270-547-7161",
            "fax_number": "270-547-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYCHANDRA S PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURYACHANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "270-547-7161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0854",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50006015",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2447302001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000058825",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.