Individual provider Active NPI

Nilam Patel, NP-C

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1528670437
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010448 Issued in TX
Practice address
5500 N Macarthur Blvd
Irving, TX 75038-2603
Phone
(972) 518-1325
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1010448 TX Primary

Addresses

Primary practice location

5500 N Macarthur Blvd
Irving, TX 75038-2603

Mailing address

1621 N Belt Line Rd
Ste a
Mesquite, TX 75149-1795
Phone (214) 909-8903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026002760 TX Practitioner - Nurse Practitioner 5991125247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockwall Elite Healthcare PLLCGroup PAC ID 7618387051, 2 clinicians

Practice addresses (Care Compare)

1115 Ridge Rd
Rockwall, TX 75087-4217
Phone (972) 961-0673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Endocrinology Associates CurrentSince May 20, 2021 Accepting new patients
Rockwall Elite Healthcare PLLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

1621 N Belt Line Rd
Ste A
Mesquite, TX 75149
Phone (214) 909-8903

1115 Ridge Rd
Rockwall, TX 75087
Phone (972) 961-0673

105 N Goliad St
Rockwall, TX 75087
Phone (972) 771-6767

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1528670437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N BELT LINE RD",
            "address_2": "STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491795",
            "telephone_number": "214-909-8903",
            "fax_number": "972-682-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382603",
            "telephone_number": "972-518-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILAM",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.