Active NPI
Kamakshi A. Patel, M.D.
- Neurology Physician
- Tucson, AZ
National Provider Identifier
1700074507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 44657
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708008 | Medicaid | AZ |
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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090695 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Neurology | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.