NPIMap

Individual provider Active NPI

Rahul Lalitchandra Patel, M.D.

  • Internal Medicine Physician
  • Manteca, CA
National Provider Identifier
1659354868
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A 50086 Issued in CA
Practice address
1148 Norman Dr
Ste 4
Manteca, CA 95336-5961
Phone
(209) 825-1660
Fax
(209) 825-1470
NPI assigned
Nov 22, 2005
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 50086 CA Primary

Addresses

Primary practice location

1148 Norman Dr
Ste 4
Manteca, CA 95336-5961

Mailing address

PO Box 191
Tracy, CA 95378-0191
Phone (209) 825-1660

Other identifiers 1

IdentifierTypeStateIssuer
A 500860MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000754 CA Practitioner - Internal Medicine 9032144746 Practice locations: Manteca, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1148 Norman Dr
Suite 4
Manteca, CA 95336-5961
Phone (209) 825-1660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.05 of 100Reported as group
Quality
100
Promoting interoperability
77
Improvement activities
40
Cost
78.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 50086CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Delta Medical Center Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rpatel11853@hpmg.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1659354868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953780191",
            "telephone_number": "209-825-1660",
            "fax_number": "209-825-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 NORMAN DR",
            "address_2": "STE 4",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365961",
            "telephone_number": "209-825-1660",
            "fax_number": "209-825-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAHUL",
        "middle_name": "LALITCHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 50086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A 500860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.