Individual provider Active NPI

Kamini Patel, MD

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1396700555
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9701842 Issued in NC
Practice address
701 Exposition PL Ste 202
Raleigh, NC 27615-3359
Phone
(919) 848-2167
Fax
(919) 848-2168
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9701842 NC Primary

Addresses

Primary practice location

701 Exposition PL Ste 202
Raleigh, NC 27615-3359

Mailing address

701 Exposition PL Ste 202
Raleigh, NC 27615-3359
Phone (919) 848-2167

Other identifiers 1

IdentifierTypeStateIssuer
89-1191YMedicaidNC

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
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
9701842NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Wake Pediatrics Pediatrics CurrentSince Nov 24, 2024 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Past Accepting new patients

Locations

701 Exposition Pl
Ste 202
Raleigh, NC 27615
Phone (919) 848-2167

Interoperability endpoints

  • Direct secure messaging: dr.kamini.patel.1@6973.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6973/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1396700555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EXPOSITION PL STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153359",
            "telephone_number": "919-848-2167",
            "fax_number": "919-848-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EXPOSITION PL STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153359",
            "telephone_number": "919-848-2167",
            "fax_number": "919-848-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAMINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9701842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-1191Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.