Active NPI
Mukesh P Patel, M.D.
- Psychiatry Physician
- Salem, VA
National Provider Identifier
1295743433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101035881
- Practice address
- 400 E Burwell St
Salem, VA 24153-4338 - Phone
- (540) 387-3105
- Fax
- (540) 387-3653
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101035881 | VA | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 0101035881 | VA |
Addresses
Primary practice location
400 E Burwell St
Salem, VA 24153-4338
Mailing address
400 E Burwell St
Salem, VA 24153-4338
Phone (540) 387-3105
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395222 | Other | ANTHEM/ANTHEM HEALTHKEEP | |
| 019414 | Other | VALUE OPTIONS | |
| 095931000 | Other | MAGELLAN | |
| 63859 | Other | CIGNA | |
| 541925036 | Other | UBH/UHC | |
| 4236869 | Other | AETNA | |
| 425445 | Other | MAMSI, MDIPA | |
| 007111355 | Medicaid | VA | |
| 089935 | Other | SENTARA/SOUTHERN HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 E Burwell St
Salem, VA 24153-4329
Phone (540) 387-3105
400 E Burwell St
Salem, VA 24153-4386
Phone (540) 387-3105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035887 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VJ 96 LLC | Psychiatry | Current | Accepting new patients |
| The Center for Emotional Care & Chemical Dependency | Psychiatry | Current | Accepting new patients |
| PHC of Virginia, LLC | Past | Accepting new patients |
Locations
400 E Burwell St
Salem, VA 24153
Phone (540) 387-3105
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Salem, VA
- NPI 1427066026
-
- Psychiatry Physician
- Salem, VA
- NPI 1679375299
-
- Substance Abuse Rehabilitation Facility
- Salem, VA
- NPI 1639228778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1295743433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E BURWELL ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241534338",
"telephone_number": "540-387-3105",
"fax_number": "540-387-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E BURWELL ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241534338",
"telephone_number": "540-387-3105",
"fax_number": "540-387-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MUKESH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101035881",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "VA",
"license": "0101035881",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/ANTHEM HEALTHKEEP",
"identifier": "395222",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "019414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "095931000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "63859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/UHC",
"identifier": "541925036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4236869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI, MDIPA",
"identifier": "425445",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007111355",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/SOUTHERN HEALTH",
"identifier": "089935",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.