Individual provider Active NPI

Vandana Apruva Patel, MD

  • Pulmonary Disease Physician
  • Chesapeake, VA
National Provider Identifier
1306847652
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101048167 Issued in VA
Practice address
4053 Taylor Rd
Suite N
Chesapeake, VA 23321-5537
Phone
(757) 484-5900
Fax
(757) 483-6671
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101048167 VA Primary

Addresses

Primary practice location

4053 Taylor Rd
Suite N
Chesapeake, VA 23321-5537

Mailing address

4053 Taylor Rd
Suite N
Chesapeake, VA 23321-5537
Phone (757) 484-5900

Other identifiers 1

IdentifierTypeStateIssuer
6022278MedicaidVA

Other names 1

  • Ms. Vandana Kalyanji Patel Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Pulmonary Associates, LTD Pulmonary Disease Current Accepting new patients

Locations

4053 Taylor Rd
Ste N
Chesapeake, VA 23321
Phone (757) 484-5900

Organizations & group practices 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1306847652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VANDANA",
        "middle_name": "APRUVA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101048167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6022278",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANDANA",
            "last_name": "PATEL",
            "middle_name": "KALYANJI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.