Indubhai Manibhai Patel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD456684 Issued in PA

Practice address

1111 E End Blvd
VA Medical Center
Plains TWP, PA 18702-7923

Phone

(570) 824-3521

Fax

(570) 819-5176

NPI assigned

Jun 27, 2007

Last updated

Aug 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wilkes Barre Veteran's Hospital

  • General Acute Care Hospital
  • Wilkes Barre, PA
  • NPI 1558549006
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1649477415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WATERMAN DR",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079629",
            "telephone_number": "570-793-4443",
            "fax_number": "570-819-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E END BLVD",
            "address_2": "VA MEDICAL CENTER",
            "city": "PLAINS TWP",
            "state": "PA",
            "postal_code": "187027923",
            "telephone_number": "570-824-3521",
            "fax_number": "570-819-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "INDUBHAI",
        "middle_name": "MANIBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD456684",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08233800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessi Burgess, OTR/L
• John Andrew Foley
• Shaun Lavallee
• Nadia Lucas, M.S., CFY-SLP
• Rochelle McDonough, LCSW
• Brittney Piatt, PT, DPT
• Timber Ridge SNF Operations LLC (River View Nursing and Rehabilitation Center)
• Devan Toophanie
• Rebecca Louise Woodring, DNP, CRNP
• Lauren Zack, OTD, OTR/L

• Internal Medicine Physician in Plains TWP, PA
• Providers in Plains TWP, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.