Active NPI
Jitendra Patel, MD
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1639260680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101036535
- Practice address
- 2020 S Independence Blvd
Ste 1
Virginia Beach, VA 23453 - Phone
- (757) 471-3100
- Fax
- (757) 471-3624
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101036535 | VA | Primary |
Addresses
Primary practice location
2020 S Independence Blvd
Ste 1
Virginia Beach, VA 23453
Mailing address
1708 Merchants Hope CT
Virginia Beach, VA 23455
Phone (757) 460-3076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6058949 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2088 S Independence Blvd
Suite 103
Virginia Beach, VA 23453-4790
Phone (757) 275-9331
Hospital & facility affiliations
- Sentara Home Care Services-Virginia Beach
- Sentara Homecare Services
- Sentara Princess Anne Hospital
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
- Sentara Norfolk General Hospital
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Family Medicine | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients |
Locations
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
2088 S Independence Blvd
Ste 103
Virginia Beach, VA 23453
Phone (757) 275-9331
Interoperability endpoints
- jitendra.patel@bayview.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- Home Health Agency
- Chesapeake, VA
- NPI 1710425152
-
- Home Health Agency
- Chesapeake, VA
- NPI 1992741060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1639260680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 MERCHANTS HOPE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23455",
"telephone_number": "757-460-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 S INDEPENDENCE BLVD",
"address_2": "STE 1",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23453",
"telephone_number": "757-471-3100",
"fax_number": "757-471-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JITENDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101036535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6058949",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.