Ajay Bankim Patel, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5008864 Issued in NC

Practice address

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480

Phone

(919) 865-8710

Fax

(919) 256-0772

NPI assigned

Sep 8, 2015

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, San Francisco School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Easter Seals Ucp North Carolina and Virginia, Inc.Group PAC ID 7618161407, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306167713
  Medicare reassignment Care Compare group NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • New Bern, NC
  • NPI 1013061746
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Clinton, NC
  • NPI 1841352101
  NPD (past)
• Inner Peace Psychological Services and Integrative Wellness Center

  • Professional Counselor
  • Cary, NC
  • NPI 1609132901

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1568830529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-977-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-256-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 S Mebane St Ste A-B",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272156385",
            "country_code": "US",
            "telephone_number": "336-223-0444",
            "fax_number": "336-223-0449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6026 Six Forks Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276093899",
            "country_code": "US",
            "telephone_number": "919-865-8710",
            "fax_number": "919-977-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AJAY",
        "middle_name": "BANKIM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Celeste Pataki, OTR/L
• Lia Marie Pate-Carolan, PHD
• Ann Scott Pate, MD
• James Carey Pate, M.D.
• Susan Pate, M.D.
• Amish Patel, PHARMD
• Amish V. Patel, MD
• Amit Ajitkumar Patel, M.D.
• Amit Vipin Patel, M.D.
• Archi Manishbhai Patel, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.