Active NPI
Yogesh R Patel, MD
- Cardiovascular Disease Physician
- Rolla, MO
National Provider Identifier
1235157876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 106511
- Practice address
- 1050 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 308-1301
- Fax
- (573) 202-2480
- NPI assigned
- Jul 18, 2006
- Last updated
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 106511 | MO | Primary |
| Interventional Cardiology Physician | 207RI0011X | 036131530 | IL |
Addresses
Primary practice location
1050 W 10TH St
Rolla, MO 65401-2905
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 308-1301
Other practice location 1
6810 State Route 162 Ste 102
Maryville, IL 62062-8560
Phone (618) 288-4215
Other practice location 2
1225 Graham Rd Ste C-2310
Florissant, MO 63031-8023
Phone (618) 288-4215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203883004 | Medicaid | MO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Missouri Inc | Past | Accepting new patients | |
| St Mary's Hospital and Medical Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
-
dba St Mary's Anticoagulation Clinic
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1235157876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-308-1301",
"fax_number": "573-202-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-308-1301",
"fax_number": "573-202-2480"
}
],
"practiceLocations": [
{
"address_1": "6810 State Route 162 Ste 102",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "IL",
"postal_code": "620628560",
"country_code": "US",
"telephone_number": "618-288-4215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 Graham Rd Ste C-2310",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630318023",
"country_code": "US",
"telephone_number": "618-288-4215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "YOGESH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "106511",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036131530",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203883004",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
- Jaehyeon Park, MD
- Hannah G Parker, LCSW
- Johnnie Winifred Parker, FNP
- Chloe Anastasia Parr, LP
- Julie Ann Parsons, LMSW
- Pathways Community Behavioral Healthcare, Inc
- Pcrmc - Bond Clinic Medical Group (Bond Clinic)
- Pcrmc Medical Group Inc
- Pcrmc Medical Group, Inc (Phelps Health Medical Group Rolla)
- Pcrmc Medical Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.