Individual provider Active NPI

Mukesh P Patel, M.D.

  • Psychiatry Physician
  • Salem, VA
National Provider Identifier
1295743433
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101035881 Issued in VA
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

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
395222OtherANTHEM/ANTHEM HEALTHKEEP
019414OtherVALUE OPTIONS
095931000OtherMAGELLAN
63859OtherCIGNA
541925036OtherUBH/UHC
4236869OtherAETNA
425445OtherMAMSI, MDIPA
007111355MedicaidVA
089935OtherSENTARA/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825001152 VA Practitioner - Psychiatry 2163546243 Reassigns benefits to 2 organizations

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
VJ 96 LLCGroup PAC ID 4789193699, 2 clinicians
The Center for Emotional Care and Chemical DependencyGroup PAC ID 9638160203, 2 clinicians

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

LicenseStateTypeSpecialty
0101035887VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VJ 96 LLC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
The Center for Emotional Care & Chemical Dependency Psychiatry CurrentSince Jan 1, 1999 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.

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

Verify at the official NPI Registry.