Individual provider Active NPI

Rakesh I Patel, M.D.

  • Nephrology Physician
  • Gallup, NM
National Provider Identifier
1508069725
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD2011-0240 Issued in NM
Practice address
1801 Redrock Dr
Gallup, NM 87301-5655
Phone
(505) 863-7993
Fax
(505) 863-9406
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2011-0242 NM
Nephrology Physician 207RN0300X MD2011-0240 NM Primary

Addresses

Primary practice location

1801 Redrock Dr
Gallup, NM 87301-5655

Mailing address

1801 Redrock Dr
Gallup, NM 87301-5655
Phone (505) 863-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000383 NM Practitioner - Internal MedicinePractitioner - Nephrology 8224207246 Reassigns benefits to 4 organizations
I20140206001099 TX Practitioner - Internal MedicinePractitioner - Nephrology 8224207246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Nephrology Associates PLLCGroup PAC ID 5092877696, 7 clinicians
Rehoboth McKinley Christian Health Care Services, Inc.Group PAC ID 1759293855, shared by 3 NPIs, 31 clinicians
DHHS,PHS,Naihs, Gallup Indian Medical CenterGroup PAC ID 3173436409, 179 clinicians

Practice addresses (Care Compare)

1551 S 2ND St
Gallup, NM 87301-5881
Phone (505) 863-7993

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Hospital & facility affiliations

  • Usrc Zuni Dialysis Dialysis facility, Zuni, NM, CCN 322535
  • Usrc Gallup Home Dialysis facility, Gallup, NM, CCN 322540
  • Usrc Solid Rock Dialysis Dialysis facility, Gallup, NM, CCN 322554
  • Gallup Indian Medical Center Hospital, Gallup, NM, CCN 320061
  • Rehoboth McKinley Christian Health Care Services Hospital, Gallup, NM, CCN 321313
  • Cibola General Hospital Hospital, Grants, NM, CCN 321308
  • Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2011-0242NMMDInternal Medicine Physician
MD2011-0240NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 4, 2013 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Internal Medicine CurrentSince Mar 31, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Mar 31, 2023 Accepting new patients
Cibola General Hospital Corporation Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
High Desert Nephrology Associates PLLC Nephrology CurrentSince Jul 1, 2011 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients

Locations

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

1910 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7041

1551 S Second St
Gallup, NM 87301
Phone (505) 542-0090

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1801 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7933

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1508069725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015655",
            "telephone_number": "505-863-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015655",
            "telephone_number": "505-863-7993",
            "fax_number": "505-863-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAKESH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2011-0242",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2011-0240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.