Active NPI
Rajesh Janakray Patel, M.D.
- Internal Medicine Physician
- Odessa, TX
National Provider Identifier
1245230622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G9782
- Practice address
- 601 Golder Ave
Suite B
Odessa, TX 79761-4412 - Phone
- (432) 580-8000
- Fax
- (432) 332-9677
- NPI assigned
- Jul 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G9782 | TX | Primary |
Addresses
Primary practice location
601 Golder Ave
Suite B
Odessa, TX 79761-4412
Mailing address
PO Box 3942
Odessa, TX 79760-3942
Phone (432) 580-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1364622-06 | Medicaid | TX |
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 |
|---|---|---|---|
| G9782 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1245230622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3942",
"city": "ODESSA",
"state": "TX",
"postal_code": "797603942",
"telephone_number": "432-580-8000",
"fax_number": "432-332-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 GOLDER AVE",
"address_2": "SUITE B",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614412",
"telephone_number": "432-580-8000",
"fax_number": "432-332-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJESH",
"middle_name": "JANAKRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G9782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1364622-06",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.