Active NPI
Ghanshyambhai K Patel, M.D.
- Psychiatry Physician
- Lake City, FL
National Provider Identifier
1346277936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31586
- Practice address
- 518 SW Windsor Dr
Lake City, FL 32024-3540 - Phone
- (859) 492-5920
- Fax
- (386) 752-8991
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31586 | KY | Primary |
Addresses
Primary practice location
518 SW Windsor Dr
Lake City, FL 32024-3540
Mailing address
518 SW Windsor Dr
Lake City, FL 32024-3540
Phone (859) 492-5920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31586 | Medicaid | KY | |
| P00022291 | Other | KY | RR MEDICARE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients | |
| Lake Cumberland Regional MHMR Board Outpatient | Past | Accepting new patients | |
| Commonwealth of Kentucky | Past | Accepting new patients | |
| Commonwealth of Kentucky | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Somerset, KY
- NPI 1245657857
-
- Psychiatric Hospital
- Lexington, KY
- NPI 1790816395
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1336172642
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1992831713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1346277936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 SW WINDSOR DR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320243540",
"telephone_number": "859-492-5920",
"fax_number": "386-752-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SW WINDSOR DR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320243540",
"telephone_number": "859-492-5920",
"fax_number": "386-752-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "GHANSHYAMBHAI",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "31586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31586",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00022291",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.