Individual provider Active NPI

Himanshu S. Patel, M.D.

  • Psychiatry Physician
  • Salem, VA
National Provider Identifier
1437167657
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101043883 Issued in VA
Practice address
400 E Burwell St
Salem, VA 24153-4338
Phone
(540) 387-3105
Fax
(540) 387-3653
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101043883 VA
Addiction Psychiatry Physician 2084P0802X 0101043883 VA
Psychiatry Physician 2084P0800X 0101043883 VA Primary

Addresses

Primary practice location

400 E Burwell St
Salem, VA 24153-4338

Mailing address

400 E Burwell St
Salem, VA 24153-4338
Phone (540) 387-3105

Other identifiers 8

IdentifierTypeStateIssuer
007111347MedicaidVA
003172OtherVALUE OPTIONS
395221OtherANTHEM, ANTHEM HEALTHKEEP
425443OtherMAMSI, MDIPA
460223000OtherMAGELLAN
089937OtherSENTARA/SOUTHERN HEALTH
4236878OtherAETNA
541925036OtherUBH/UHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000515 VA Practitioner - Psychiatry 4789675356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101043883VAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Emotional Care & Chemical Dependency Psychiatry CurrentSince Jan 1, 1999 Accepting new patients

Locations

400 E Burwell St
Salem, VA 24153
Phone (540) 387-3105

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1437167657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E BURWELL ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534338",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E BURWELL ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534338",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIMANSHU",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101043883",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "VA",
            "license": "0101043883",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101043883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007111347",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "003172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, ANTHEM HEALTHKEEP",
            "identifier": "395221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, MDIPA",
            "identifier": "425443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "460223000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/SOUTHERN HEALTH",
            "identifier": "089937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4236878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/UHC",
            "identifier": "541925036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.