Amrish Chimanlal Patel, MD
Individual provider Active NPI Family Medicine Physician · Troutman, NC
NPI 1497736698 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1497736698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 009701102 (NC)
- Practice address
- 154 S Main St
Troutman, NC 28166-9636 - Phone
- (704) 528-9903
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Healthcare PA
Practice addresses (Care Compare)
154 S Main St
Troutman, NC 28166-9636
Phone (704) 528-9903
Hospital & facility affiliations
- Iredell Memorial Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 124 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 47 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914001143 | NC | Practitioner - Family Practice | 4486687027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009701102 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Family Medicine | Current |
Accepting new patients |
Locations
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
154 S Main St
Troutman, NC 28166
Phone (704) 528-9903
Interoperability endpoints
- amrishpatel@phc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 009701102 | NC | Yes |
Addresses
Primary practice location
154 S Main St
Troutman, NC 28166-9636
Mailing address
650 Signal Hill Drive Ext
PO Box 1845
Statesville, NC 28625-4353
Phone (704) 876-4277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891326P | Medicaid | NC |
Other providers in Troutman, NC
- Denton Mow
- Nabella Transportation LLC
- No Excuse Medical, Inc
- Amanda Lee Oates
- Nathaniel Oram
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Jeanne Catherine Pierce
- Realistic Change by C.H.O.I.C.E. @ Winchester I
- Realistic Change by C.H.O.I.C.E. @ Winchester II
All providers in Troutman, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.