Active NPI
Kisan Patel
- Certified Registered Nurse Anesthetist
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6422
- Practice address
- 1240 Huffman Mill Rd
Burlington, NC 27215-8700 - Phone
- (336) 538-7179
- NPI assigned
- Jul 22, 2020
- Last updated
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 290571 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 891857 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 6422 | NC | Primary |
| Registered Nurse | 163W00000X | 290571 | NC |
Addresses
Primary practice location
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Mailing address
203 Barksdale Dr Apt K
Chapel Hill, NC 27516-0408
Phone (847) 494-2746
Other practice location 1
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-8000
Other practice location 2
N2198 Unc Hospitals Cb# 7010
Chapel Hill, NC 27599-0001
Phone (984) 974-1000
Other practice location 3
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6422 | NC | MD | Athletic Trainer |
| 891857 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granville Health System | Current | Accepting new patients | |
| Granville Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Chatham Hospital, Inc. | Current | Accepting new patients |
Locations
1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
1010 College St
Oxford, NC 27565
Phone (919) 623-5115
2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216
475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
dba Chatham Professional Group
- Critical Access Hospital
- Siler City, NC
- NPI 1689967457
-
dba Granville CRNA Group
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
-
- Diagnostic Radiology Physician
- Oxford, NC
- NPI 1104683341
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1699383984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BARKSDALE DR APT K",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275160408",
"telephone_number": "847-494-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158700",
"telephone_number": "336-538-7179"
}
],
"practiceLocations": [
{
"address_1": "3024 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101247",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "N2198 Unc Hospitals Cb# 7010",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275990001",
"country_code": "US",
"telephone_number": "984-974-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "984-974-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KISAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "290571",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "891857",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6422",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "290571",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.