Active NPI
Poras Kamlesh Patel
- Hematology & Oncology Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2020-02069
- Practice address
- 9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541 - Phone
- (704) 947-5005
- Fax
- (877) 881-8455
- NPI assigned
- Oct 22, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 285941 | NY | |
| Medical Oncology Physician | 207RX0202X | 2020-02069 | NC | |
| Hematology & Oncology Physician | 207RH0003X | 2020-02069 | NC | Primary |
Addresses
Primary practice location
9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541
Mailing address
9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541
Phone (704) 947-5005
Other practice location 1
146 Medical Park Rd Ste 212
Mooresville, NC 28117-8529
Phone (704) 659-7850
Other practice location 2
10320 Mallard Creek Rd Ste 100
Charlotte, NC 28262-5204
Phone (704) 945-6843
Other practice location 3
268 Gillman Rd Ste A
Denver, NC 28037-7925
Phone (704) 659-7830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9930 Kincey Ave
Suite 165
Huntersville, NC 28078-6541
Phone (704) 947-5005
Hospital & facility affiliations
- Iredell Memorial Hospital Inc
- Duke Health Lake Norman Hospital
- Novant Health Huntersville Medical Center
- Novant Health Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285941 | NY | MD | Internal Medicine Physician |
| 2020-02069 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oncology Specialists, PLLC | Current | Accepting new patients | |
| Southern Oncology Specialists, PLLC | Hematology & Oncology | Current | Accepting new patients |
Locations
10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500
268 Gillman Rd
Ste A
Denver, NC 28037
Phone (704) 659-7830
10030 Gilead Rd
Ste 290
Huntersville, NC 28078
Phone (704) 947-5005
9930 Kincey Ave
Ste 165
Huntersville, NC 28078
Phone (704) 947-5005
146 Medical Park Rd
Ste 212
Mooresville, NC 28117
Phone (704) 659-7844
1405 Fern Creek Dr
Statesville, NC 28625
Phone (704) 659-7866
Interoperability endpoints
- ppatel839766@direct.novanthealth.org
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Huntersville, NC
- NPI 1336455674
-
- Specialty Pharmacy
- Huntersville, NC
- NPI 1558879965
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1669876447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 165",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "704-947-5005",
"fax_number": "877-881-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 165",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "704-947-5005",
"fax_number": "877-881-8455"
}
],
"practiceLocations": [
{
"address_1": "146 Medical Park Rd Ste 212",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178529",
"country_code": "US",
"telephone_number": "704-659-7850",
"fax_number": "877-881-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10320 Mallard Creek Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282625204",
"country_code": "US",
"telephone_number": "704-945-6843",
"fax_number": "877-881-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "268 Gillman Rd Ste A",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "NC",
"postal_code": "280377925",
"country_code": "US",
"telephone_number": "704-659-7830",
"fax_number": "877-881-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PORAS",
"middle_name": "KAMLESH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-22",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "285941",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "2020-02069",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2020-02069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.