NPIMap

Organization Active NPI

Dr. Mita R. Patel PC

  • Pediatrics Physician
  • Lebanon, IN
National Provider Identifier
1558640698
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01039025A Issued in IN
Legal business name
DR. MITA R. PATEL PC
Practice address
1608 N Lebanon St
Lebanon, IN 46052-1514
Phone
(765) 483-0842
Fax
(765) 483-0846
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Dr. Mita Patel, MDNPI 1295783843
Title
Owner
Phone
(765) 483-0842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 01039025A IN Primary

Addresses

Primary practice location

1608 N Lebanon St
Lebanon, IN 46052-1514

Mailing address

1608 N Lebanon St
Lebanon, IN 46052-1514
Phone (765) 483-0842

National Provider Directory

National Provider Directory

Locations

1608 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-4098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1558640698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521514",
            "telephone_number": "765-483-0842",
            "fax_number": "765-483-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521514",
            "telephone_number": "765-483-0842",
            "fax_number": "765-483-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MITA R. PATEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-483-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01039025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.