Active NPI
Priyal Patel, M.D.
- Family Medicine Physician
- New Boston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8962
- Practice address
- 910 James Bowie Dr
New Boston, TX 75570-2335 - Phone
- (903) 614-5950
- Fax
- (903) 614-5965
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-10866 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | R8962 | TX | Primary |
Addresses
Primary practice location
910 James Bowie Dr
New Boston, TX 75570-2335
Mailing address
2900 Saint Michael Dr Ste 401
Texarkana, TX 75503-5211
Phone (903) 614-5392
Other practice location 1
3510 Richmond Rd
Texarkana, TX 75503-0714
Phone (903) 614-5220
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200834030A | Medicaid | OK | |
| 3903395 | Medicaid | TX | |
| P02599458 | Other | TX | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3502 Richmond Rd
Texarkana, TX 75503-0705
Phone (903) 614-5270
4824 McKnight Rd
Texarkana, TX 75503-0935
Phone (903) 614-5800
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Chambers Home Health Agency
- Christus Homecare - St Michael
- Encompass Health Home Health
- Christus St Michael Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-10866 | AR | MD | Emergency Medicine Physician |
| R8962 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
910 James Bowie Dr
New Boston, TX 75570
Phone (903) 614-5950
2900 Saint Michael Dr
Ste 401
Texarkana, TX 75503
Phone (903) 614-5353
3510 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-5220
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- priyal.patel.1@14285.direct.athenahealth.com
- ppatel232965@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- Home Health Agency
- Texarkana, TX
- NPI 1366682080
-
- Home Health Agency
- Texarkana, TX
- NPI 1437269651
-
- Home Health Agency
- Texarkana, AR
- NPI 1780076208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1205220654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SAINT MICHAEL DR STE 401",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035211",
"telephone_number": "903-614-5392",
"fax_number": "903-614-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 JAMES BOWIE DR",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755702335",
"telephone_number": "903-614-5950",
"fax_number": "903-614-5965"
}
],
"practiceLocations": [
{
"address_1": "3510 Richmond Rd",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755030714",
"country_code": "US",
"telephone_number": "903-614-5220",
"fax_number": "903-614-5229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRIYAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-10866",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R8962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200834030A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3903395",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P02599458",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Boston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.