Active NPI
Tarulata M Patel, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Painesville, OH
National Provider Identifier
1467594986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 39123
- Practice address
- 50 Normandy Drive Suite #3
Liberty Medical Center
Painesville, OH 44077 - Phone
- (440) 953-3872
- Fax
- (440) 354-2721
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 39123 | OH | Primary |
| Occupational Medicine Physician | 2083X0100X | 39123 | OH |
Addresses
Primary practice location
50 Normandy Drive Suite #3
Liberty Medical Center
Painesville, OH 44077
Mailing address
50 Normandy Drive Suite #3
Liberty Medical Center
Painesville, OH 44077
Phone (440) 953-3872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000128112 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39123 | OH | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.P. Patel, M.D., Inc. | Pain Medicine | Past | Accepting new patients |
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": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1467594986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 NORMANDY DRIVE SUITE #3",
"address_2": "LIBERTY MEDICAL CENTER",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "44077",
"telephone_number": "440-953-3872",
"fax_number": "440-354-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 NORMANDY DRIVE SUITE #3",
"address_2": "LIBERTY MEDICAL CENTER",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "44077",
"telephone_number": "440-953-3872",
"fax_number": "440-354-2721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TARULATA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OH",
"license": "39123",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "39123",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000128112",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.