Chaitany R Patel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200601175 Issued in NC

Practice address

107 Hyannis Dr
Holly Springs, NC 27540-8336

Phone

(919) 363-8666

Fax

(919) 363-8668

NPI assigned

Sep 21, 2006

Last updated

May 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-City Family Medicine and Urgent Care Clinic PLLCGroup PAC ID 3173606100, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCEAED/Endpoint/CCEAED

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.

• Tri-City Family Medicine & Urgent Care Clinic, PLLC

  dba Tricity Family Medicine & Urgent Care

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1457531790
  Medicare reassignment Care Compare group NPD
• Tri-City Family Medicine & Urgent Care Clinic, PLLC

  dba Tricity Family Medicine & Urgent Care

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1881987691
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1275632945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408336",
            "telephone_number": "919-363-8666",
            "fax_number": "919-363-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408336",
            "telephone_number": "919-363-8666",
            "fax_number": "919-363-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Parkside Main St",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275196950",
            "country_code": "US",
            "telephone_number": "919-261-6446",
            "fax_number": "919-261-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHAITANY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200601175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICITY FAMILY MEDICINE GROUP NPI",
            "identifier": "1457531790",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "200601175",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICITY FAMILY MEDICINE GROUP BCBS COMMERCIAL NPI",
            "identifier": "1881987691",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Collene Pandey, LCMHCA, LCAS CSI
• Paradigm Counseling NC
• Prachi Parikh, AGNP-C
• Tara Danielle Parker, LCSW
• Ankur Anil Patel, DO
• Juhin Sureshbhai Patel, PHARMD
• Nishang Patel, DMD
• Roshani Patel, OD
• Shimul Patel
• Nicole Paterno

• Family Medicine Physician in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.