Kantilal Lallubhat Patel

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

021780 Issued in GA

Practice address

106 Rowe St
Dublin, GA 31021-5238

Phone

(478) 272-0353

Fax

(478) 272-0363

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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 GA

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

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/lKCPDiQgazoGE3paP2y6xrcZ5A3i0bDn/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dublin Trails of Journey LLC

  • Skilled Nursing Facility
  • Dublin, GA
  • NPI 1154154086

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Magna Care Medical Specialists LLC

  • Hospitalist Physician
  • Macon, GA
  • NPI 1487002382
  NPD
• Hospitalists at Fairview Park, LLC

  • Hospitalist Physician
  • Dublin, GA
  • NPI 1336300649
  NPD (past)
• Southern Internal Medicine LLC

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1316121619
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467487264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215238",
            "telephone_number": "478-272-0353",
            "fax_number": "478-272-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215238",
            "telephone_number": "478-272-0353",
            "fax_number": "478-272-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KANTILAL",
        "middle_name": "LALLUBHAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "021780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199339A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Parker, PHARMD
• Barry Mitchell Parker, M.D.
• Rex Michael Parkerson, PHARMACIST
• Aesha Patel
• Hirel Patel
• Kavita Patel, PHARMD
• Manojkumar Chandulal Patel
• Pujan Patel, M.D.
• Rajesh Patel
• Smikal J Patel

• Internal Medicine Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.