Active NPI
Dixie M. Patel, M.D.
- Family Medicine Physician
- South Milwaukee, WI
National Provider Identifier
1205914736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46141-020
- Practice address
- 3611 S. Chicago Ave.
Ste 100
South Milwaukee, WI 53172-3738 - Phone
- (414) 762-7270
- Fax
- (414) 762-7864
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 46141-020 | WI | Primary |
Addresses
Primary practice location
3611 S. Chicago Ave.
Ste 100
South Milwaukee, WI 53172-3738
Mailing address
100 - 15 TH Ave.
Ste 180
South Milwaukee, WI 53172-1160
Phone (414) 768-5430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46141-020 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1205914736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 - 15 TH AVE.",
"address_2": "STE 180",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721160",
"telephone_number": "414-768-5430",
"fax_number": "414-762-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 S. CHICAGO AVE.",
"address_2": "STE 100",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531723738",
"telephone_number": "414-762-7270",
"fax_number": "414-762-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIXIE",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "46141-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.