Organization Active NPI

Piyush R Patel MD, PC

  • Internal Medicine Physician
  • Centreville, VA
National Provider Identifier
1639428840
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101047220 Issued in VA
Legal business name
PIYUSH R PATEL MD, PC
Practice address
13880 Braddock Rd
Suite 209
Centreville, VA 20121-2459
Phone
(703) 818-2772
Fax
(703) 818-2773
NPI assigned
Sep 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. Piyush R Patel, MDNPI 1821055625
Title
President
Phone
(703) 818-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101047220 VA Primary

Addresses

Primary practice location

13880 Braddock Rd
Suite 209
Centreville, VA 20121-2459

Mailing address

13880 Braddock Rd
Suite 209
Centreville, VA 20121-2459
Phone (703) 818-2772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000124 DC Part B Supplier - Clinic/Group Practice 7618126533 Receives reassigned benefits from 1 practitioner
Practice locations: Centreville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1091560Piyush R Patel, MD, PC13880 Braddock Road - Suite 209, Centreville, VA 20121Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

7104 Braddock Rd
Annandale, VA 22003
Phone (703) 256-0882

12469 Lee Jackson Hwy
Fairfax, VA 22033
Phone (571) 230-2782

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1639428840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "SUITE 209",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212459",
            "telephone_number": "703-818-2772",
            "fax_number": "703-818-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "SUITE 209",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212459",
            "telephone_number": "703-818-2772",
            "fax_number": "703-818-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIYUSH R PATEL MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-818-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101047220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.