Organization Active NPI

River City Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1649322215
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RIVER CITY MEDICAL ASSOCIATES INC
Practice address
6947 Merrill Rd
Jacksonville, FL 32277-2684
Phone
(904) 743-2222
Fax
(904) 743-3087
NPI assigned
Jan 17, 2007
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Vipul Rasiklal Patel, DCNPI 1073582151
Title
Clinic Director
Phone
(904) 743-2222

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X FL Primary
Physical Therapy Clinic/Center 261QP2000X FL
Primary Care Clinic/Center 261QP2300X ME121788 FL
Pain Clinic/Center 261QP3300X
Chiropractor 111N00000X CH8351 FL
Chiropractor 111N00000X CH9130 FL
Chiropractor 111N00000X CH8829 FL
Chiropractor 111N00000X CH10260 FL
Chiropractor 111N00000X CH10561 FL
Internal Medicine Physician 207R00000X ME121788 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME80212 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME101999 FL
Pain Medicine Physician 208VP0000X ME103267 FL
Interventional Pain Medicine Physician 208VP0014X ME103267 FL

Addresses

Primary practice location

6947 Merrill Rd
Jacksonville, FL 32277-2684

Mailing address

6947 Merrill Rd
Jacksonville, FL 32277-2684
Phone (904) 743-2222

Other identifiers 3

IdentifierTypeStateIssuer
DO0093OtherFLRAILROAD
011041800MedicaidFL
33125OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080402000067 FL Part B Supplier - Clinic/Group Practice 1850478819 Receives reassigned benefits from 7 practitioners
Practice locations: St Augustine, FL; Orange Park, FL; Jacksonville Beach, FL; Jacksonville, FL; Fernandina Beach, FL

National Provider Directory

National Provider Directory

Locations

939 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 257-1889

1940 S 14th St
Fernandina Beach, FL 32034

2160 Dunn Ave
Jacksonville, FL 32218

644 Cesery Blvd
Ste 330
Jacksonville, FL 32211

8081 Philips Hwy
Ste 17
Jacksonville, FL 32256

458 Osceola Ave
Jacksonville Beach, FL 32250

470 Osceola Ave
Jacksonville Beach, FL 32250

904 Park Ave
Orange Park, FL 32073
Phone (904) 435-0799

665 State Road 207
Ste 102
Saint Augustine, FL 32084
Phone (904) 484-5176

665 State Road 207
Ste 106
Saint Augustine, FL 32084

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1649322215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772684",
            "telephone_number": "904-743-2222",
            "fax_number": "904-743-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6947 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772684",
            "telephone_number": "904-743-2222",
            "fax_number": "904-743-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "RASIKLAL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "904-743-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME121788",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8351",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9130",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8829",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10260",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10561",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121788",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME80212",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME101999",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME103267",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME103267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DO0093",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011041800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "33125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.