Individual provider Active NPI

Mitesh Patel, MD

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1336609155
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101275572 Issued in VA
Practice address
9715 Liberia Ave
Manassas, VA 20110-5837
Phone
(571) 229-1797
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101275572 VA Primary

Addresses

Primary practice location

9715 Liberia Ave
Manassas, VA 20110-5837

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice location 1

4910 Valley View Blvd NW
3rd Floor
Roanoke, VA 24012
Phone (540) 265-4210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220721000030 DC Practitioner - Family Practice 5991135782 Reassigns benefits to 2 organizations
I20220829000862 VA Practitioner - Family Practice 5991135782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

8078 Crescent Park Dr
Suite 201
Gainesville, VA 20155-3449
Phone (703) 753-4999

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101275572VAMDFamily Medicine Physician
0101275575VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Jun 9, 2022 Accepting new patients
Inova Ucc LLC CurrentSince Oct 16, 2023 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Jun 9, 2022 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Oct 26, 2025 Accepting new patients
Lewis Gale Physicians LLC PastSince Sep 1, 2019 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Lewis Gale Physicians LLC PastSince Sep 1, 2019 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

13890 Braddock Rd
Ste 201
Centreville, VA 20121
Phone (703) 631-0331

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

8078 Crescent Park Dr
Ste 207
Gainesville, VA 20155
Phone (571) 472-4487

8078 Crescent Park Dr
Ste 201
Gainesville, VA 20155
Phone (703) 257-7822

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

9715 Liberia Ave
Manassas, VA 20110
Phone (571) 229-1797

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com
  • Direct secure messaging: mpatel1259218@soc.inova.org
  • Direct secure messaging: mitesh.patel@hca6.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1336609155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "fax_number": "540-265-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105837",
            "telephone_number": "571-229-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Valley View Blvd NW",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24012",
            "country_code": "US",
            "telephone_number": "540-265-4210",
            "fax_number": "540-265-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101275572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9715 Liberia Ave",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201105837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.