Active NPI
Rajnikant B Patel, M.D.
- Child & Adolescent Psychiatry Physician
- Panama City, FL
National Provider Identifier
1417957242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME0060091
- Practice address
- 11 W 23Rd St
Panama City, FL 32405-7603 - Phone
- (850) 747-0168
- Fax
- (850) 785-5660
- NPI assigned
- Jul 22, 2005
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME0060091 | FL | Primary |
Addresses
Primary practice location
11 W 23Rd St
Panama City, FL 32405-7603
Mailing address
4836 Highway 389
Lynn Haven, FL 32444-3336
Phone (850) 747-0168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME60091 | Other | FL | LICENSE |
| 12679 | Other | FL | BCBSF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
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": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417957242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4836 HIGHWAY 389",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324443336",
"telephone_number": "850-747-0168",
"fax_number": "850-785-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057603",
"telephone_number": "850-747-0168",
"fax_number": "850-785-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJNIKANT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME0060091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME60091",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSF",
"identifier": "12679",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.