Individual provider Active NPI

Chirag Dashrathbhai Patel, FNP-C

  • Family Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1609396696
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134196 Issued in TX
Practice address
2030 N State Hwy 78
Suite 500
Wylie, TX 75098-6043
Phone
(469) 992-9572
Fax
(469) 969-0103
NPI assigned
Jun 21, 2017
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134196 TX Primary

Addresses

Primary practice location

2030 N State Hwy 78
Suite 500
Wylie, TX 75098-6043

Mailing address

8009 Graystone Dr
Sachse, TX 75048-3825
Phone (817) 666-5899

Other identifiers 1

IdentifierTypeStateIssuer
AP134196OtherTXTEXAS BOARD OF NURSING ADVANCED PRACTICE REGISTERED NURSE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20171019000146 TX Practitioner - Nurse Practitioner 4284900200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kmrcpatel PLLCGroup PAC ID 1355795568, 2 clinicians

Practice addresses (Care Compare)

2030 N State Hwy 78
Suite 500
Wylie, TX 75098-6059
Phone (469) 992-9572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kmrcpatel PLLC CurrentSince Mar 8, 2023 Accepting new patients
Walk in Care Clinics of Texas Family CurrentSince Nov 26, 2024 Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

2030 N Highway 78
Ste 500
Wylie, TX 75098
Phone (469) 257-3504

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1609396696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 GRAYSTONE DR",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483825",
            "telephone_number": "817-666-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N STATE HWY 78",
            "address_2": "SUITE 500",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986043",
            "telephone_number": "469-992-9572",
            "fax_number": "469-969-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHIRAG",
        "middle_name": "DASHRATHBHAI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING ADVANCED PRACTICE REGISTERED NURSE LICENSE NUMBER",
            "identifier": "AP134196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.