Individual provider Active NPI

Rahul A Patel, M.D.

  • Emergency Medicine Physician
  • Morrisville, NC
National Provider Identifier
1699068478
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2015-00403 Issued in NC
Practice address
3000 Aerial Center Pkwy
Suite 100
Morrisville, NC 27560-9132
Phone
(256) 764-8764
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 978471 AL
Emergency Medicine Physician 207P00000X 73775 GA
Emergency Medicine Physician 207P00000X 2015-00403 NC Primary

Addresses

Primary practice location

3000 Aerial Center Pkwy
Suite 100
Morrisville, NC 27560-9132

Mailing address

3000 Aerial Center Pkwy
Suite 100
Morrisville, NC 27560-9132
Phone (256) 764-8764

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
I20150526002013 NC Practitioner - Emergency Medicine 6002035060 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kernersville Emergency Group, PLLCGroup PAC ID 3375885429, 53 clinicians
Tanglewood Park Physicians PLLCGroup PAC ID 3476895129, 47 clinicians

Practice addresses (Care Compare)

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4850

6915 Village Medical Cir
Clemmons, NC 27012-8002
Phone (336) 893-1000

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as group
Quality
84.49
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
82.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
978471ALMDEmergency Medicine Physician
73775GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanglewood Park Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Mar 12, 2019 Accepting new patients
Kernersville Emergency Group, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Mar 7, 2015 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Mar 7, 2015 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Mar 4, 2019 Accepting new patients

Locations

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1699068478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 AERIAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609132",
            "telephone_number": "256-764-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 AERIAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609132",
            "telephone_number": "256-764-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAHUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "978471",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "73775",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2015-00403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.