Kanubhai C Patel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35039686P Issued in OH

Practice address

3745 Whipple Ave NW
Suite a
Canton, OH 44718-2933

Phone

(330) 493-3313

Fax

(330) 496-6413

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Psychiatry

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral and Psychiatric Consultants Inc

  • Mental Health Counselor
  • Massillon, OH
  • NPI 1578627667
  Medicare reassignment NPD
• Avo Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Canton, OH
  • NPI 1104431410
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1386708980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182933",
            "telephone_number": "330-493-3313",
            "fax_number": "330-496-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182933",
            "telephone_number": "330-493-3313",
            "fax_number": "330-496-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KANUBHAI",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35039686P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320423",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Pass, CT
• Stephen M Passerini, MD
• Passport Health Holdings, LLC
• Jamie L. Pastorius, L.I.S.W.
• Dilip C Patel, MD
• Rushina Anil Patel, PT, DPT
• Sunita Patel
• Sunny Patel, DDS
• Pathway Caring for Children
• Pathway Caring for Children

• Psychiatry Physician in Canton, OH
• Providers in Canton, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.

Verify at the official NPI Registry.