Mohmedali I. Patel, M. D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

A50401 Issued in CA

Practice address

16738 Lakeshore Dr
Suite-F
Lake Elsinore, CA 92530-4930

Phone

(951) 674-6876

Fax

(951) 674-6876

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lakeshore Medical Clinic Inc

  • Internal Medicine Physician
  • Lake Elsinore, CA
  • NPI 1063740520
  Medicare reassignment NPD Authorized official
• Lakeshore Medical Clinic Inc

  • Family Medicine Physician
  • Lake Elsinore, CA
  • NPI 1346571502
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548486756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16738,LAKESHORE DRIVE",
            "address_2": "SUITE-F",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304933",
            "telephone_number": "951-674-6876",
            "fax_number": "951-674-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16738 LAKESHORE DR",
            "address_2": "SUITE-F",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304930",
            "telephone_number": "951-674-6876",
            "fax_number": "951-674-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MOHMEDALI",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A50401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Pantazopoulos, DO
• Sheri Kim Parker, LCSW
• Sherrel Parnell, FNP-C
• Pamela Catherine Paslay
• Dipti Sheetal Patel, PHARMACIST
• Trusha P Patel, PT
• Rocio Patino
• Megan Vicktoria Patzer, AMFT
• Michelle Nicole Pavlick
• Michelle Evanthe Pawlak, R.D.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.