Shrinal Suryakant Patel, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110004496 Issued in VA

Practice address

200 Medical Park Blvd
Petersburg, VA 23805-9274

Phone

(804) 765-5000

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment NPD
• Washington Hospital Center Corp

  dba Washington Hospital Center Physicians

  • Neurological Surgery Physician
  • Washington, DC
  • NPI 1407870124
  Medicare reassignment
• Medstar Medical Group II LLC

  dba MMG Anesthesia Cfnrg

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1023836137
  NPD
• Washington Hospital Center Corp

  • General Practice Physician
  • Washington, DC
  • NPI 1629394424
  NPD

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1174940886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 S CRATER RD",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238057328",
            "telephone_number": "804-732-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059274",
            "telephone_number": "804-765-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRINAL",
        "middle_name": "SURYAKANT",
        "name_prefix": "Miss",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyechia Michelle Parker, LPC
• Clint Ted Paseos, R.N.
• Jaykumar A Patel
• Kapil Patel, PHARMD
• Neha D Patel, MD
• Pathfinders Children and Youth Services, LLC
• Pathway to Success LLC
• Pathways-VA, Inc.
• Patriotmed of Kansas, P.a.
• Deijah Patterson

• Medical Physician Assistant in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.