Individual provider Active NPI

Pinal Govindbhai Patel

  • Nephrology Physician
  • Conway, SC
National Provider Identifier
1679148340
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
96501 Issued in SC
Practice address
847 Farrar Dr
Conway, SC 29526-8747
Phone
(843) 347-9487
NPI assigned
May 25, 2021
Reactivated
Jun 12, 2023
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 96501 SC Primary

Addresses

Primary practice location

847 Farrar Dr
Conway, SC 29526-8747

Mailing address

847 Farrar Dr
Conway, SC 29526-8747
Phone (843) 347-1263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20240702003042 KS Order and Referring Only - NephrologyPractitioner - Nephrology 2365986239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Kidney Center PA Nephrology CurrentSince Aug 1, 2026 Accepting new patients

Locations

847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1679148340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 FARRAR DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268747",
            "telephone_number": "843-347-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 FARRAR DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268747",
            "telephone_number": "843-347-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PINAL",
        "middle_name": "GOVINDBHAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "deactivation_date": "2023-03-29",
        "reactivation_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "96501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.