Individual provider Active NPI

Komal Patel, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1679195366
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2024-00162 Issued in NC
Practice address
4201 Lake Boone TRL Ste 201
Raleigh, NC 27607-7511
Phone
(919) 785-0384
Fax
(919) 785-0038
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2024-00162 NC Primary

Addresses

Primary practice location

4201 Lake Boone TRL Ste 201
Raleigh, NC 27607-7511

Mailing address

4201 Lake Boone TRL Ste 201
Raleigh, NC 27607-7511
Phone (919) 785-0384

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226001831 NC Practitioner - Psychiatry 4385125475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Eastern Virginia Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HRC Behavioral Health and Psychiatry, PAGroup PAC ID 9436044765, 5 clinicians

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 201
Raleigh, NC 27607-7511
Phone (919) 785-0384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-00162NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HRC Behavioral Health & Psychiatry, PA Psychiatry CurrentSince Jan 1, 2026 Accepting new patients

Locations

100 Europa Dr
Ste 260
Chapel Hill, NC 27517
Phone (919) 929-1227

4201 Lake Boone Trl
Ste 201
Raleigh, NC 27607
Phone (919) 442-1123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16901/brand/1/csg/1/fhir/r4
  • Direct secure messaging: komal.patel.1@16901.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1679195366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-785-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-785-0384",
            "fax_number": "919-785-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KOMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2024-00162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.