NPIMap

Individual provider Active NPI

Raj B Patel, M.D.

  • Emergency Medicine Physician
  • Boulder City, NV
National Provider Identifier
1669817656
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18149 Issued in NV
Practice address
901 Adams Blvd
Boulder City, NV 89005-2299
Phone
(702) 293-4111
NPI assigned
May 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 62294 AZ
Family Medicine Physician 207Q00000X R3387 KY
Family Medicine Physician 207Q00000X 62294 AZ
Emergency Medicine Physician 207P00000X 18149 NV Primary

Addresses

Primary practice location

901 Adams Blvd
Boulder City, NV 89005-2299

Mailing address

2740 Josephine Dr
Henderson, NV 89044-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NV, AZ, VA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160815002133 KY Practitioner - Family Practice 7517273303 Reassigns benefits to 5 organizations
I20190304002754 NV Practitioner - Emergency Medicine 7517273303 Reassigns benefits to 3 organizations
I20210205001125 AZ Practitioner - Family Practice 7517273303 Reassigns benefits to 3 organizations
I20231215000311 VA Practitioner - Emergency Medicine 7517273303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lyon Health Center IncGroup PAC ID 0648178533, 20 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • South Lyon Medical Center Hospital, Yerington, NV, CCN 291314
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62294AZMDEmergency Medicine Physician
R3387KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Jun 29, 2016 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince Jan 1, 2021 Accepting new patients
Bessler MD, PLLC Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
South Lyon Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC CurrentSince Jan 17, 2021 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 2, 2022 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Dec 28, 2021 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 29, 2016 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

911 Bypass Rd
#110
Pikeville, KY 41501
Phone (606) 218-6410

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

200 Corporate Blvd
Lafayette, LA 70508

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1669817656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 JOSEPHINE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052299",
            "telephone_number": "702-293-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJ",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "62294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3387",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "62294",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "18149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

Verify at the official NPI Registry.