Individual provider Active NPI

Priyanka Sanjeev Patel, MD

  • Internal Medicine Physician
  • Dumas, TX
National Provider Identifier
1467081364
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U7739 Issued in TX
Practice address
1405 E 1St St Ste 101
Dumas, TX 79029-3569
Phone
(806) 935-9194
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U7739 TX Primary

Addresses

Primary practice location

1405 E 1St St Ste 101
Dumas, TX 79029-3569

Mailing address

1978 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 873-2710

Other practice location 1

1978 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 873-2710

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231229001594 TX Practitioner - Internal Medicine 8325498579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

1405 E 1St St
101 Moore County Internal Medicine
Dumas, TX 79029-3569
Phone (806) 935-9195

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U7739TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moore County Hospital District Internal Medicine CurrentSince Nov 15, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Moore County Hospital District PastSince Nov 15, 2023 Accepting new patients

Locations

1405 E 1st St
Ste 101
Dumas, TX 79029
Phone (806) 935-5094

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1467081364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-873-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E 1ST ST STE 101",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293569",
            "telephone_number": "806-935-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1978 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703637055",
            "country_code": "US",
            "telephone_number": "985-873-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "middle_name": "SANJEEV",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

Verify at the official NPI Registry.