Vijaykumar P Patel, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20740 Issued in TN

Practice address

9711 Mountain Lake Dr
Ooltewah, TN 37363-6270

Phone

(423) 238-4622

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1558343434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MOUNTAIN LAKE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636270",
            "telephone_number": "423-238-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MOUNTAIN LAKE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636270",
            "telephone_number": "423-238-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIJAYKUMAR",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "33175",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "20740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujata Pakhrin
• Bhumika Kiranbhai Patel
• Gayatri Patel
• Mikinbhai Patel
• Nisha Patel
• Robert Stokes Patterson, O.D.
• Peak Physical Therapy, LLC
• Lynn C Petras, PH.D.
• Sara Terry Petron
• Melissa Hardison Pettway, PT

• Gastroenterology Physician in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.