Patel Medical Center PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PATEL MEDICAL CENTER PLLC

Practice address

205 W Highway 60
Irvington, KY 40146-6284

Phone

(270) 547-7161

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracie Glasscock

Title

Office Manager

Phone

(270) 547-7161

Specialties & licenses 1

Addresses

Other names 1

• Patel Medical Center Irvington Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407685258. Details of each certification follow.

• CCN B08901 Rural health clinic · Active · Details

Rural health clinic certification: CCN B08901

Legal name

PATEL MEDICAL CENTER PLLC

Doing business as

PATEL MEDICAL CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 23, 2025

Last certification

Jul 23, 2025

Ownership / control type

1B

Organization structure

OtherProprietary

Incorporated

Jun 17, 2011 in KY

Enrollment address

205 US-60 W
Irvington, KY 40146

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Patel Medical Center PLLC

  • Rural Health Clinic/Center
  • Hardinsburg, KY
  • NPI 1205665916

  8123340064

  Same PAC ID
• Patel Medical Center PLLC

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1871994020

  8123340064

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Patel Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Patel Medical Center PLLC

  • Rural Health Clinic/Center
  • Hardinsburg, KY
  • NPI 1205665916
  NPD tax ID
• Patel Medical Center PLLC

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1871994020
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Saagar Patel, MD

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1770746794

  Corporate Officer

  CMS ownership
• Suryachandra S Patel, M.D.

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1447393483

  Corporate Officer

  CMS ownership

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1407685258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W HIGHWAY 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "401466284",
            "telephone_number": "270-547-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W HIGHWAY 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "401466284",
            "telephone_number": "270-547-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "GLASSCOCK",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-547-7161"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patel Medical Center Irvington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Nicole Hicks, RN
• Louisa Bridget Malewitz, RN
• Hannah Joy Miller, APRN-CNP
• Linda K Neff, APRN
• P.L. Kasey Senior Center
• Patel Medical Center PLLC
• Saagar Patel, MD
• Sudha Mogali Patel, M.D.
• Suryachandra S Patel, M.D.
• Save-Rite Drugs

• Rural Health Clinic/Center in Irvington, KY
• Providers in Irvington, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.