Active NPI
Rahul S Patel, D.O.
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1669649547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34.009774
- Practice address
- 1800 Cannon Dr FL 10
Ohio State Univ Counseling and Consultation Service
Columbus, OH 43210-2209 - Phone
- (614) 292-5766
- NPI assigned
- May 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.009774 | OH | Primary |
| Psychiatry Physician | 2084P0800X | 036.128739 | IL |
Addresses
Primary practice location
1800 Cannon Dr FL 10
Ohio State Univ Counseling and Consultation Service
Columbus, OH 43210-2209
Mailing address
1800 Cannon Dr FL 10
Ohio State Univ Counseling and Consultation Serv
Columbus, OH 43210-2209
Phone (614) 292-5766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XP1826998 | Other | OH | BUPRENORPHINE WAIVER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.128739 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bromenn Physicians Management Corporation | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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
- Normal, IL
- NPI 1285903799
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1669649547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CANNON DR FL 10",
"address_2": "OHIO STATE UNIV COUNSELING AND CONSULTATION SERV",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432102209",
"telephone_number": "614-292-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CANNON DR FL 10",
"address_2": "OHIO STATE UNIV COUNSELING AND CONSULTATION SERVICE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432102209",
"telephone_number": "614-292-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAHUL",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-10",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "34.009774",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.128739",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUPRENORPHINE WAIVER",
"identifier": "XP1826998",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.