NPIMap

Individual provider Active NPI

Bharatkumar R Patel, MD

  • Internal Medicine Physician
  • Clarksville, TN
National Provider Identifier
1558342097
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26865 Issued in TN
Practice address
111 Center Pointe Dr
Suite 1
Clarksville, TN 37040-8682
Phone
(931) 648-7615
Fax
(931) 648-7616
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26865 TN Primary

Addresses

Primary practice location

111 Center Pointe Dr
Suite 1
Clarksville, TN 37040-8682

Mailing address

111 Center Pointe Dr
Suite 1
Clarksville, TN 37040-8682
Phone (931) 648-7615

Other identifiers 1

IdentifierTypeStateIssuer
3096435MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000093 TN Practitioner - Internal Medicine 0042234999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Internal Medicine, PLCGroup PAC ID 9739255985, 4 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

111 Ctr Pointe Dr
Clarksville, TN 37040-8683
Phone (931) 648-7615

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26865TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Internal Medicine, PLC Internal Medicine CurrentSince Feb 16, 2006 Accepting new patients

Locations

111 Center Pointe Dr
Ste 1
Clarksville, TN 37040
Phone (931) 648-7615

Organizations & group practices 1

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 8

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1558342097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTER POINTE DR",
            "address_2": "SUITE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408682",
            "telephone_number": "931-648-7615",
            "fax_number": "931-648-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTER POINTE DR",
            "address_2": "SUITE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408682",
            "telephone_number": "931-648-7615",
            "fax_number": "931-648-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHARATKUMAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "26865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096435",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.