Active NPI
Patel Medical Associates, P.C.
- Primary Care Clinic/Center
- East Chicago, IN
National Provider Identifier
1528393147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PATEL MEDICAL ASSOCIATES, P.C.
- Practice address
- 525 W Chicago Ave
East Chicago, IN 46312-3206 - Phone
- (219) 397-1342
- Fax
- (219) 397-2580
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kantilal S. Patel, M.D
- Title
- President
- Phone
- (219) 397-1342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
525 W Chicago Ave
East Chicago, IN 46312-3206
Mailing address
525 W Chicago Ave
East Chicago, IN 46312-3206
Phone (219) 397-1342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200132990 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- East Chicago, IN
- NPI 1316015944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1528393147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-1342",
"fax_number": "219-397-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-1342",
"fax_number": "219-397-2580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATEL MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KANTILAL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-397-1342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200132990",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.