Individual provider Active NPI

Kiran R Patel, M.D.

  • Obstetrics & Gynecology Physician
  • South Charleston, WV
National Provider Identifier
1346200599
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17053 Issued in WV
Practice address
401 Division St
Ste 306
South Charleston, WV 25309-1455
Phone
(304) 766-4300
Fax
(304) 766-4337
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17053 WV Primary

Addresses

Primary practice location

401 Division St
Ste 306
South Charleston, WV 25309-1455

Mailing address

108 E Ridge Rd
Charleston, WV 25314-1666
Phone (304) 344-0850

Other identifiers 1

IdentifierTypeStateIssuer
0092257000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20050225000016 WV Practitioner - Obstetrics/Gynecology 6204889777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patel and Patel MD IncGroup PAC ID 1759301823, 6 clinicians

Practice addresses (Care Compare)

401 Division St
Suite 306
South Charleston, WV 25309-1455
Phone (304) 766-4300

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17053WVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patel & Patel MD Inc Obstetrics & Gynecology CurrentSince Jan 1, 2006 Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Raleigh General Hospital LLC Past Accepting new patients
Mountain Anesthesia, LLC PastSince Jan 1, 2006 Accepting new patients
Wvupc-Camc Wound Care Center Past Accepting new patients

Locations

401 Division St
Ste 306
South Charleston, WV 25309
Phone (304) 766-4300

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.

Hospital & facility affiliations 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1346200599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E RIDGE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141666",
            "telephone_number": "304-344-0850",
            "fax_number": "304-766-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "address_2": "STE 306",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091455",
            "telephone_number": "304-766-4300",
            "fax_number": "304-766-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "17053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092257000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.