Active NPI
Tushar G. Patel, M.D. P.C.
- Internal Medicine Physician
- Richlands, VA
National Provider Identifier
1679800700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101037830
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006013198 | Medicaid | VA | |
| 4660972 | Other | VA | AETNA |
| 0017933000 | Other | VA | FEDERAL BLACK LUNG |
| 030090 | Other | VA | ANTHEM BCBS |
| 3810016951 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.