Active NPI
Kamini Patel, MD
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1396700555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9701842
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-1191Y | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9701842 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Wake Pediatrics | Pediatrics | Current | 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
- dr.kamini.patel.1@6973.direct.athenahealth.com
- 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.
-
- Pediatrics Physician
- Raleigh, NC
- NPI 1477378669
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
-
- Pediatric Critical Care Medicine Physician
- New Brunswick, NJ
- NPI 1164510400
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.