Organization Active NPI

Tushar G. Patel, M.D. P.C.

  • Internal Medicine Physician
  • Richlands, VA
National Provider Identifier
1679800700
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101037830 Issued in VA
Legal business name
TUSHAR G. PATEL, M.D. P.C.
Practice address
3150 Clinch St
Suite 106
Richlands, VA 24641-2159
Phone
(276) 963-2231
Fax
(276) 964-9701
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Dr. Tushar G. Patel, M.D.
Title
President
Phone
(276) 963-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101037830 VA Primary

Addresses

Primary practice location

3150 Clinch St
Suite 106
Richlands, VA 24641-2159

Mailing address

253 Gary Dr
Richlands, VA 24641-2682
Phone (276) 963-2231

Other identifiers 5

IdentifierTypeStateIssuer
006013198MedicaidVA
4660972OtherVAAETNA
0017933000OtherVAFEDERAL BLACK LUNG
030090OtherVAANTHEM BCBS
3810016951MedicaidWV

National Provider Directory

National Provider Directory

Locations

3150 Clinch St
Ste 106
Richlands, VA 24641
Phone (276) 963-2231

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1679800700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 GARY DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412682",
            "telephone_number": "276-963-2231",
            "fax_number": "276-964-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CLINCH ST",
            "address_2": "SUITE 106",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412159",
            "telephone_number": "276-963-2231",
            "fax_number": "276-964-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSHAR G. PATEL, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-963-2231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101037830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006013198",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4660972",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "0017933000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "030090",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016951",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.