Active NPI
Vadankumar Manibhai Patel, MD
- Psychiatry Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25785
- Practice address
- 238 Summar Dr
Jackson, TN 38301-3906 - Phone
- (731) 935-8200
- Fax
- (731) 935-8327
- NPI assigned
- Jun 9, 2006
- Last updated
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25785 | TN | Primary |
Addresses
Primary practice location
238 Summar Dr
Jackson, TN 38301-3906
Mailing address
1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436
Phone (731) 660-8759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25785 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Valley Hospital Clinics, PLLC | Current | Accepting new patients | |
| Henry County Medical Center | Current | Accepting new patients | |
| Aspen Valley Hospital District Clinics | Current | Accepting new patients | |
| Baptist Memorial Hospital- Union City Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital-Union City Inc | Current | Accepting new patients | |
| Aspen Valley Hospital District | Current | Accepting new patients | |
| Henry County Medical Center | Current | Accepting new patients | |
| Aspen Valley Hospital District | Current | Accepting new patients |
Locations
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
1460 E Valley Rd
Ste 103
Basalt, CO 81621
Phone (970) 279-4111
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
Organizations & group practices 8
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.
-
- Psychiatric Hospital Unit
- Union City, TN
- NPI 1346207909
-
- Hospitalist Physician
- Paris, TN
- NPI 1073765475
-
dba Aspen Valley Hospital Center for Medical Care
- Multi-Specialty Clinic/Center
- Aspen, CO
- NPI 1003306168
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
-
dba Medical Arts Rural Health Clinic
- Rural Health Clinic/Center
- Paris, TN
- NPI 1588275317
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
-
- Surgery Physician
- Basalt, CO
- NPI 1114778412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1538100730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "SUITE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-660-8759",
"fax_number": "731-660-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013906",
"telephone_number": "731-935-8200",
"fax_number": "731-935-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VADANKUMAR",
"middle_name": "MANIBHAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "25785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.