Active NPI
Kiran R Patel, M.D.
- Obstetrics & Gynecology Physician
- South Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 17053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092257000 | Medicaid | WV |
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
Enrollment records 1
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
Practice addresses (Care Compare)
401 Division St
Suite 306
South Charleston, WV 25309-1455
Phone (304) 766-4300
Hospital & facility affiliations
- Thomas Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17053 | WV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patel & Patel MD Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Herbert J. Thomas Memorial Hospital Association | Past | Accepting new patients | |
| Raleigh General Hospital LLC | Past | Accepting new patients | |
| Mountain Anesthesia, LLC | Past | 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.
-
- Obstetrics & Gynecology Physician
- South Charleston, WV
- NPI 1467535450
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- Certified Registered Nurse Anesthetist
- Lewisburg, WV
- NPI 1073814513
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
-
- Critical Care Medicine (Internal Medicine) Physician
- Charleston, WV
- NPI 1457657330
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.