Active NPI
Jaykrishna Patel, M.D.
- Internal Medicine Physician
- Tazewell, TN
National Provider Identifier
1407875222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13732
- Practice address
- 209 Irish Cemetery Rd
Tazewell, TN 37879-3611 - Phone
- (423) 626-2225
- Fax
- (423) 626-0560
- NPI assigned
- Jul 19, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13732 | TN | Primary |
Addresses
Primary practice location
209 Irish Cemetery Rd
Tazewell, TN 37879-3611
Mailing address
209 Irish Cemetery Rd
PO Box 383
Tazewell, TN 37879-3611
Phone (423) 626-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3707302 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407875222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 IRISH CEMETERY RD",
"address_2": "PO BOX 383",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378793611",
"telephone_number": "423-626-2225",
"fax_number": "423-626-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 IRISH CEMETERY RD",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378793611",
"telephone_number": "423-626-2225",
"fax_number": "423-626-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAYKRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "13732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3707302",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.