Individual provider Active NPI

Bejal Patel, M.D.

  • Pediatrics Physician
  • Reno, NV
National Provider Identifier
1154613289
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16552 Issued in NV
Practice address
3980 Lake Placid Dr
Reno, NV 89511-6702
Phone
(775) 784-3319
Fax
(775) 322-4956
NPI assigned
May 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16552 NV Primary
Hospitalist Physician 208M00000X 16552 NV
Pediatric Adolescent Medicine Physician 2080A0000X 16552 NV
Pediatric Adolescent Medicine Physician 2080A0000X 072391 GA

Addresses

Primary practice location

3980 Lake Placid Dr
Reno, NV 89511-6702

Mailing address

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 784-3319

Other identifiers 1

IdentifierTypeStateIssuer
16552OtherNVNV MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160901002473 NV Practitioner - Pediatric Medicine 9638399488 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16552NVMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Nevada Physician Practices LLC CurrentSince Dec 19, 2017 Accepting new patients
Humboldt General Hospital Current Accepting new patients
Northeastern Nevada Physician Practices LLC Pediatrics CurrentSince Dec 19, 2017 Accepting new patients
PHC-Elko Inc Past Accepting new patients
Au Medical Center, Inc Past Accepting new patients
Medical College of Georgia Hospital Past Accepting new patients
Caremeridian, LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

1995 Errecart Blvd
Ste 204
Elko, NV 89801
Phone (775) 738-0520

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: bejal.patel.1@20237.direct.athenahealth.com
  • Direct secure messaging: patelb@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1304812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1154613289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-784-3319",
            "fax_number": "775-322-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 LAKE PLACID DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895116702",
            "telephone_number": "775-784-3319",
            "fax_number": "775-322-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BEJAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-08",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "16552",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "16552",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NV",
            "license": "16552",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "072391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "16552",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.