Vijesh K. Patel. M.D., PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K1616 Issued in TX

Legal business name

VIJESH K. PATEL. M.D., PA

Practice address

876 Magnolia Ave
Port Neches, TX 77651-3712

Phone

(409) 729-3787

Fax

(409) 722-8660

NPI assigned

Jun 17, 2006

Last updated

Oct 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vijesh K Patel, M.D.NPI 1194752196

Title

Physician

Phone

(409) 729-3787

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Vijesh K Patel, M.D.

  • Internal Medicine Physician
  • Port Neches, TX
  • NPI 1194752196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1154366938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 MAGNOLIA AVE",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513712",
            "telephone_number": "409-729-3787",
            "fax_number": "409-722-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 MAGNOLIA AVE",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513712",
            "telephone_number": "409-729-3787",
            "fax_number": "409-722-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJESH K. PATEL. M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIJESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-729-3787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319970501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0084RF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.