NPIMap

Individual provider Active NPI

Kirit S Patel, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Shreveport, LA
National Provider Identifier
1477512309
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
L05690R Issued in LA
Practice address
2120 Bert Kouns Loop
Ste F
Shreveport, LA 71118-3351
Phone
(318) 686-1668
Fax
(318) 686-5821
NPI assigned
Mar 20, 2006
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X L05690R LA
Addiction Medicine (Internal Medicine) Physician 207RA0401X L05690R LA Primary

Addresses

Primary practice location

2120 Bert Kouns Loop
Ste F
Shreveport, LA 71118-3351

Mailing address

2120 Bert Kouns Loop
Ste F
Shreveport, LA 71118-3351
Phone (318) 686-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000362 LA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7416131503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2120 Bert Kouns Industrial Loop
Suite F
Shreveport, LA 71118-3354
Phone (318) 686-1668

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L05690RLAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince Feb 1, 2020 Accepting new patients
Minden Physician Practices LLC CurrentSince Feb 1, 2020 Accepting new patients
Kirit S Patel MD Apmc Internal Medicine CurrentSince Aug 1, 1982 Accepting new patients
PMG Opco-Guest House LLC Past Accepting new patients
PMG Opco-Washington LLC Past Accepting new patients

Locations

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

216 W Union St
Ste A
Minden, LA 71055
Phone (318) 299-6334

2120 Bert Kouns Industrial Loop
Ste E
Shreveport, LA 71118
Phone (318) 688-3350

2120 Bert Kouns Industrial Loop
Ste F
Shreveport, LA 71118
Phone (318) 686-1668

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

Interoperability endpoints

  • Direct secure messaging: kirtkumar.patel.1@3681.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1477512309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BERT KOUNS LOOP",
            "address_2": "STE F",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183351",
            "telephone_number": "318-686-1668",
            "fax_number": "318-686-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BERT KOUNS LOOP",
            "address_2": "STE F",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183351",
            "telephone_number": "318-686-1668",
            "fax_number": "318-686-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "L05690R",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "LA",
            "license": "L05690R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.