Individual provider Active NPI

Bhairavi D Patel, MD

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1326284258
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A99465 Issued in CA
Practice address
18031 US Highway 18 Ste C
Apple Valley, CA 92307
Phone
(760) 810-7631
Fax
(760) 810-7635
NPI assigned
Dec 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A99465 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A99465 CA

Addresses

Primary practice location

18031 US Highway 18 Ste C
Apple Valley, CA 92307

Mailing address

18031 US Highway 18 Ste C
Apple Valley, CA 92307-2152
Phone (760) 810-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20121220000249 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1951437102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Medical Associates, Inc.Group PAC ID 8628220126, 3 clinicians

Practice addresses (Care Compare)

18031 US Hwy 18
Suite C
Apple Valley, CA 92307-2152
Phone (760) 810-7631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Medical Associates, Inc. CurrentSince Oct 1, 2012 Accepting new patients
St. Mary Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients
Neptune Hospitalist Group Professional Corporation PastSince May 7, 2024 Accepting new patients

Locations

11965 Cactus Rd
Ste G
Adelanto, CA 92301

15972 Tuscola Rd
Ste 115
Apple Valley, CA 92307

15972 Tuscola Rd
Ste 101
Apple Valley, CA 92307
Phone (760) 810-7631

18031 US Highway 18
Ste C
Apple Valley, CA 92307
Phone (760) 242-5389

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1326284258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18 STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-810-7631",
            "fax_number": "760-810-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18 STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-810-7631",
            "fax_number": "760-810-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAIRAVI",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99465",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A99465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.