Individual provider Active NPI

Manubhai S Patel, M.D.

  • Medical Oncology Physician
  • Jackson, MS
National Provider Identifier
1487659850
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
14074 Issued in MS
Practice address
2969 Curran Dr N
Ste 200
Jackson, MS 39216-4121
Phone
(601) 974-5600
Fax
(601) 974-5699
NPI assigned
Jun 14, 2005
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 14074 MS Primary

Addresses

Primary practice location

2969 Curran Dr N
Ste 200
Jackson, MS 39216-4121

Mailing address

1227 N State St
Ste 101
Jackson, MS 39202-2002
Phone (601) 355-2485

Other practice location 1

1227 N State St Ste 101
Jackson, MS 39202-2002
Phone (601) 355-2485

Other identifiers 2

IdentifierTypeStateIssuer
5275585OtherAETNA HEALTHCARE
00118200MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmagee@joncology.oncoemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100414000253 MS Practitioner - Hematology/Oncology 6002942588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Oncology AssociatesGroup PAC ID 2860392735, 12 clinicians

Practice addresses (Care Compare)

1227 N State St
Suite 101
Jackson, MS 39202-2002
Phone (601) 355-2485

2969 Curran Dr N
Suite 200
Jackson, MS 39216-4121
Phone (601) 974-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14074MSMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Oncology Associates Hematology & Oncology CurrentSince Jul 30, 1999 Accepting new patients
Jackson Oncology Associates CurrentSince Jul 30, 1999 Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients

Locations

1227 N State St
Ste 101
Jackson, MS 39202
Phone (601) 355-2485

2969 Curran Dr N
Ste 200
Jackson, MS 39216
Phone (601) 974-5600

Organizations & group practices 4

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 4

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1487659850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N STATE ST",
            "address_2": "STE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022002",
            "telephone_number": "601-355-2485",
            "fax_number": "601-353-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 CURRAN DR N",
            "address_2": "STE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164121",
            "telephone_number": "601-974-5600",
            "fax_number": "601-974-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 N State St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022002",
            "country_code": "US",
            "telephone_number": "601-355-2485",
            "fax_number": "601-353-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANUBHAI",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MS",
            "license": "14074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "5275585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118200",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmagee@joncology.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "2969 Curran Dr N",
            "address_2": "Ste 200",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.