Active NPI
Kishor Patel MD
- Geriatric Medicine (Internal Medicine) Physician
- Rocky River, OH
National Provider Identifier
1427243302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 59487
- Legal business name
- KISHOR PATEL MD
- Practice address
- 21851 Center Ridge Rd
Suite 405
Rocky River, OH 44116-3976 - Phone
- (440) 333-5822
- Fax
- (440) 333-5824
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kishor Patel, MD
- Title
- Physician
- Phone
- (440) 333-5824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 59487 | OH | Primary |
Addresses
Primary practice location
21851 Center Ridge Rd
Suite 405
Rocky River, OH 44116-3976
Mailing address
21851 Center Ridge Rd
Suite 405
Rocky River, OH 44116-3976
Phone (440) 333-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0814855 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
15600 Madison Ave
Lakewood, OH 44107
Phone (216) 228-3000
15644 Madison Ave
Ste 105
Lakewood, OH 44107
Phone (216) 221-2127
21851 Center Ridge Rd
Ste 405
Rocky River, OH 44116
Phone (216) 221-2127
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lakewood, OH
- NPI 1902970809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1427243302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21851 CENTER RIDGE RD",
"address_2": "SUITE 405",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163976",
"telephone_number": "440-333-5822",
"fax_number": "440-333-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21851 CENTER RIDGE RD",
"address_2": "SUITE 405",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163976",
"telephone_number": "440-333-5822",
"fax_number": "440-333-5824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KISHOR PATEL MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KISHOR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "440-333-5824",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "59487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0814855",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.