Individual provider Active NPI

Bipinchandra Raojibhai Patel, M.D., FACS, FACRS

  • Surgery Physician
  • Johns Creek, GA
National Provider Identifier
1225045057
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
137389 Issued in NY
Practice address
11459 Johns Creek Pkwy Ste 240
Johns Creek, GA 30097-3517
Phone
(470) 395-6932
Fax
(470) 395-6951
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X NY137389 NY
Surgery Physician 208600000X 137389 NY Primary

Addresses

Primary practice location

11459 Johns Creek Pkwy Ste 240
Johns Creek, GA 30097-3517

Mailing address

11459 Johns Creek Pkwy Ste 240
Johns Creek, GA 30097-3517
Phone (470) 395-6932

Other identifiers 2

IdentifierTypeStateIssuer
00738409MedicaidNY
NY LICENSE#137389OtherNYNEWYORK STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071211000272 NY Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 9739278979 Reassigns benefits to 1 organization
Practice locations: Vestal, NY; Walton, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NY137389NYMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Jun 4, 2010 Accepting new patients

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225045057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973517",
            "telephone_number": "470-395-6932",
            "fax_number": "470-395-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973517",
            "telephone_number": "470-395-6932",
            "fax_number": "470-395-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BIPINCHANDRA",
        "middle_name": "RAOJIBHAI",
        "credential": "M.D., FACS, FACRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "NY137389",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "137389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738409",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEWYORK STATE LICENSE",
            "identifier": "NY LICENSE#137389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.