Atulkumar Ramanbhai Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J3721 Issued in TX

Practice address

2019 S Henderson Blvd
Ste 2a
Kilgore, TX 75662-3672

Phone

(903) 984-2002

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• East Texas Treatment Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kilgore, TX
  • NPI 1023002425
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447255252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 S HENDERSON BLVD, STE 2A",
            "address_2": "STE 2A",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623672",
            "telephone_number": "903-984-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 S HENDERSON BLVD",
            "address_2": "STE 2A",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623672",
            "telephone_number": "903-984-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ATULKUMAR",
        "middle_name": "RAMANBHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "J3721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Texas Orthopaedic Spcecialists PA
• Angelina Odhiambo, D.D.S.
• Kimberly Nicole Page, M.D.
• Janet Louise Parker, LMSW
• Matthew Parsons, LVN
• Laura Perkins, PHARMD
• Reagan Marie Pfeffer
• Michelle Phillips, DDS
• Richard Wayne Pierce
• Pine Hills Health Center, LLC

• Internal Medicine Physician in Kilgore, TX
• Providers in Kilgore, TX by specialty
• Internal Medicine Physician in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.