Individual provider Active NPI

Vishal Patel

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1144752254
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26889 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-5582
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 57553 KY
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 26889 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

1100 Robley Dr Apt 4208
Lafayette, LA 70503-5528
Phone (972) 408-6256

Other practice location 1

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 659-5555

Other identifiers 1

IdentifierTypeStateIssuer
7100858560MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, KY, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200917000806 LA Practitioner - Emergency Medicine 5991075780 Reassigns benefits to 4 organizations
I20221222000691 KY Practitioner - Emergency Medicine 5991075780 Reassigns benefits to 2 organizations
I20231005002850 TX Practitioner - Emergency Medicine 5991075780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parish State Emergency Physicians LLCGroup PAC ID 5193252203, 25 clinicians

Practice addresses (Care Compare)

2315 E Main St
New Iberia, LA 70560-4031
Phone (337) 364-0441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
76.46
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57553KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Single Specialty Current Accepting new patients
Parish State Emergency Physicians LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Acs Primary Care Physicians Louisiana PC Single Specialty CurrentSince Aug 10, 2021 Accepting new patients
Main Street Emergency Group LLC Single Specialty CurrentSince Aug 19, 2020 Accepting new patients
T J Samson Community Hospital Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Highland Emergency Group, LLC Single Specialty CurrentSince Aug 28, 2021 Accepting new patients
Longhorn Emergency Medical Associates PA Single Specialty CurrentSince Oct 15, 2023 Accepting new patients
T J Samson Community Hospital Single Specialty Current Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 9

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 2

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1144752254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROBLEY DR APT 4208",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035528",
            "telephone_number": "972-408-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N L Rogers Wells Blvd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411300",
            "country_code": "US",
            "telephone_number": "270-659-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57553",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100858560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.