Pratikkumar Patel, M.D.M.P.H

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

27506 Issued in WV

Practice address

830 Pennsylvania Ave Ste 401
Charleston, WV 25302-3390

Phone

(304) 388-1552

NPI assigned

Jun 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Pratik Patel Other name

Medicare fee-for-service enrollment

Enrolled in WV

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

State licenses

Practice roles

Locations

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.

• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Medicare reassignment NPD
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD
• Wvupc-Camc Wound Care Center

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, WV
  • NPI 1457657330
  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1467747527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE 3.137",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 401",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023390",
            "telephone_number": "304-388-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIKKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "27506",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10040436",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "WV",
            "license": "27506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRATIK",
            "last_name": "PATEL",
            "prefix": "DR.",
            "credential": "M.D.M.P.H.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mahendrakumar M. Patel, M.D.
• Mohini C Patel
• Narena Patel
• Nishika Patel, PHARMD
• Nivid Jayeshbhai Patel
• Zeel Rakeshkumar Patel, M.D.
• Michelle Chapman Paterno, DDS
• Patnoe Pediatric Dentistry PLLC
• Ashley Jane Patnoe, D.D.S.
• Emily Patrick

• Pediatric Gastroenterology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Pediatric Gastroenterology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.