Individual provider Active NPI

Chintak Balvantrai Patel, M.D.

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1245529783
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
72392 Issued in GA
Practice address
4600 Waters Ave
Suite 100
Savannah, GA 31404-6702
Phone
(912) 355-2462
Fax
(912) 353-1836
NPI assigned
Apr 5, 2011
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 72392 GA Primary

Addresses

Primary practice location

4600 Waters Ave
Suite 100
Savannah, GA 31404-6702

Mailing address

4600 Waters Ave
Suite 100
Savannah, GA 31404-6702
Phone (912) 355-2462

Other identifiers 1

IdentifierTypeStateIssuer
72392OtherGAMD LICENSE

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

LicenseStateTypeSpecialty
72392GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Savannah, P.C. Pediatrics Past Accepting new patients
Pediatric Associates of Savannah, P.C. Pediatrics 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1245529783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WATERS AVE",
            "address_2": "SUITE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046702",
            "telephone_number": "912-355-2462",
            "fax_number": "912-353-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 WATERS AVE",
            "address_2": "SUITE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046702",
            "telephone_number": "912-355-2462",
            "fax_number": "912-353-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHINTAK",
        "middle_name": "BALVANTRAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "72392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "72392",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.