Individual provider Active NPI

Deepak Patel, M.D.

  • Psychiatry Physician
  • Hopkinsville, KY
National Provider Identifier
1609969369
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36579 Issued in KY
Practice address
310 Cool Water CT
Hopkinsville, KY 42240-8738
Phone
(270) 632-4675
Fax
(270) 632-4680
NPI assigned
Oct 2, 2006
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 36579 KY
Psychiatry Physician 2084P0800X 36579 KY Primary

Addresses

Primary practice location

310 Cool Water CT
Hopkinsville, KY 42240-8738

Mailing address

PO Box 1567
Hopkinsville, KY 42241-1567
Phone (270) 632-4675

Other identifiers 1

IdentifierTypeStateIssuer
64031362MedicaidKY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20031203000145 KY Practitioner - Psychiatry 5496650517 Reassigns benefits to 3 organizations
Practice locations: Hopkinsville, KY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

320 W 18TH St
Hopkinsville, KY 42240-1965
Phone (270) 887-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48123KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Trigg County Hospital, Inc CurrentSince Oct 6, 2020 Accepting new patients
Trigg County Hospital, Inc CurrentSince Oct 6, 2020 Accepting new patients
Jennie Stuart Medical Center CurrentSince Dec 31, 2018 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 31, 2018 Accepting new patients
Jennie Stuart Medical Center Inc Past Accepting new patients
Deepak V. Patel, MD, PLLC Psychiatry PastSince Jan 1, 1990 Accepting new patients
Commonwealth Counseling Corp PastSince Jan 1, 2002 Accepting new patients

Locations

11 Hospital St
Cadiz, KY 42211
Phone (270) 522-3441

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

Organizations & group practices 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1609969369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422411567",
            "telephone_number": "270-632-4675",
            "fax_number": "270-632-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COOL WATER CT",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408738",
            "telephone_number": "270-632-4675",
            "fax_number": "270-632-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "36579",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "36579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64031362",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.