Organization Active NPI

Arthritis & Joint Center

  • Physical Medicine & Rehabilitation Physician
  • Winston Salem, NC
National Provider Identifier
1427782671
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ARTHRITIS & JOINT CENTER
Practice address
1365 Westgate Center Dr Ste M1
Winston Salem, NC 27103-3106
Phone
(609) 992-9529
NPI assigned
Jul 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Prutha Patel, MDNPI 1205094802
Title
Owner
Phone
(609) 992-9529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1365 Westgate Center Dr Ste M1
Winston Salem, NC 27103-3106

Mailing address

1365 Westgate Center Dr Ste M1
Winston Salem, NC 27103-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824000212 NC Part B Supplier - Clinic/Group Practice 8628451663 Receives reassigned benefits from 1 practitioner
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

1365 Westgate Center Dr
Ste M1
Winston Salem, NC 27103
Phone (336) 659-1151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1427782671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE M1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE M1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "609-992-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS & JOINT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRUTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-992-9529",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.