Individual provider Active NPI

Kamakshi A. Patel, M.D.

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1700074507
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
44657 Issued in AZ
Practice address
6261 N. la Cholla Blvd
Suite 131
Tucson, AZ 85741
Phone
(520) 694-3940
Fax
(520) 694-3941
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301090695 MI
Neurology Physician 2084N0400X 44657 AZ Primary

Addresses

Primary practice location

6261 N. la Cholla Blvd
Suite 131
Tucson, AZ 85741

Mailing address

575 E. River Road
Tucson, AZ 85704-5822
Phone (520) 874-3500

Other identifiers 1

IdentifierTypeStateIssuer
708008MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150512002354 TX Practitioner - NeurologyPractitioner - Other (Physician) 3476719964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301090695MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Neurology CurrentSince Apr 17, 2015 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

Interoperability endpoints

  • Direct secure messaging: kpatelmd29387@direct.utmb.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1700074507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E. RIVER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045822",
            "telephone_number": "520-874-3500",
            "fax_number": "520-874-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 N. LA CHOLLA BLVD",
            "address_2": "SUITE 131",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-694-3940",
            "fax_number": "520-694-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAMAKSHI",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301090695",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "44657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708008",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.