Organization Active NPI

Jitendra K. Patel M.D. Inc

  • Family Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1689758807
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35069645P Issued in OH
Legal business name
JITENDRA K. PATEL M.D. INC
Practice address
723 8TH St
Portsmouth, OH 45662-4265
Phone
(740) 353-5306
Fax
(740) 353-8131
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Jitendra K Patel, M.D
Title
President
Phone
(740) 353-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35069645P OH Primary

Addresses

Primary practice location

723 8TH St
Portsmouth, OH 45662-4265

Mailing address

723 8TH St
Portsmouth, OH 45662-4265
Phone (740) 353-5306

Other identifiers 5

IdentifierTypeStateIssuer
9371761OtherOHMEDICARE GROUP #
000000187307OtherOHBCBS
0207565MedicaidOH
2806977OtherOHGROUP MEDICAID
64952237MedicaidKY

National Provider Directory

National Provider Directory

Locations

4136 Germany Rd
Beaver, OH 45613
Phone (740) 226-3074

2274 McDermott Pond Creek Rd
Mc Dermott, OH 45652
Phone (740) 259-2838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1689758807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 8TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624265",
            "telephone_number": "740-353-5306",
            "fax_number": "740-353-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 8TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624265",
            "telephone_number": "740-353-5306",
            "fax_number": "740-353-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITENDRA K. PATEL M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-353-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069645P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "9371761",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000187307",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207565",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "2806977",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64952237",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.