Individual provider Active NPI

Samik Hetal Patel, M.D.

  • Surgery Physician
  • Matthews, NC
National Provider Identifier
1174054696
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2024-01410 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331
Phone
(704) 841-1444
Fax
(704) 849-2520
NPI assigned
Mar 26, 2017
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X 0101279296 VA
Surgery Physician 208600000X 94178 SC
Surgery Physician 208600000X 2024-01410 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Other practice location 1

113 Gainsborough Sq Ste 400
Chesapeake, VA 23320-1714
Phone (757) 842-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, SC3 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
I20231026000139 VA Practitioner - General Surgery 3375816168 Reassigns benefits to 1 organization
I20241024001416 NC Practitioner - General Surgery 3375816168 Reassigns benefits to 3 organizations
I20250417001009 SC Practitioner - General Surgery 3375816168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Prep II LLCGroup PAC ID 1052835311, shared by 2 NPIs, 47 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 175
Rock Hill, SC 29732-1188
Phone (803) 324-5256

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-01410NCMDSurgery Physician
94178SCMDSurgery Physician
0101279296VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Prep II LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Surgical Specialists of Charlotte, P.a. Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Chesapeake Regional Medical Group Single Specialty CurrentSince Sep 13, 2023 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Chesapeake Regional Medical Group Single Specialty CurrentSince Sep 13, 2023 Accepting new patients
Chesapeake Regional Medical Group Single Specialty CurrentSince Jun 12, 2024 Accepting new patients
Novant Health Prep II LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390

1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900

1721 Ebenezer Rd
Ste 175
Rock Hill, SC 29732
Phone (803) 324-5256

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: spatel2998416@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1174054696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 250",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055331",
            "telephone_number": "704-841-1444",
            "fax_number": "704-849-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Gainsborough Sq Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201714",
            "country_code": "US",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIK",
        "middle_name": "HETAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101279296",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "94178",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2024-01410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.