Chandravadan P. Patel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35051607 Issued in OH

Practice address

809 Coshocton Ave
Suite C
Mount Vernon, OH 43050-1900

Phone

(740) 397-1900

Fax

(740) 397-1900

NPI assigned

Mar 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alcohol and Drug Freedom Center of Knox CountyGroup PAC ID 7911008511, 3 clinicians

Knox Community HospitalGroup PAC ID 1153301833, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chandravadanpatel@bhlth.allscriptsdirect.net

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.

• Alcohol and Drug Freedom Center of Knox County

  • Community/Behavioral Health Agency
  • Mount Vernon, OH
  • NPI 1275509143
  Medicare reassignment Care Compare group NPD
• Knox Community Hospital

  • Family Medicine Physician
  • Mount Vernon, OH
  • NPI 1154483022
  Medicare reassignment Care Compare group NPD
• Knox Community Hospital

  dba KCH Northside Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, OH
  • NPI 1073351557
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1598883068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 COSHOCTON AVE",
            "address_2": "SUITE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501900",
            "telephone_number": "740-397-1900",
            "fax_number": "740-397-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COSHOCTON AVE",
            "address_2": "SUITE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501900",
            "telephone_number": "740-397-1900",
            "fax_number": "740-397-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDRAVADAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35051607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0622820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jean Pack
• Kathryn N Palmer, CPNP
• Ramanadharao Pamulapati, MD
• Marne Parker, PRS
• Jami Passwaters, BA, QMHS
• Krishna Patel, PHARMD
• Shailesh C Patel, M.D.
• Lyndsey Rae Patterson, MS-N, FNP-BC
• Scott Patterson, CT
• Juanita Paulson

• Psychiatry Physician in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.