Organization Active NPI

Kishor Patel MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rocky River, OH
National Provider Identifier
1427243302
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
59487 Issued in OH
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

Updated by the provider on Oct 31, 2012

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0814855MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.