Individual provider Active NPI

Vipul M Patel, MD

  • Internal Medicine Physician
  • Pasadena, TX
National Provider Identifier
1700994613
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6683 Issued in TX
Practice address
629 E Southmore Ave
Pasadena, TX 77502
Phone
(713) 475-1933
Fax
(713) 475-9036
NPI assigned
Aug 29, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6683 TX Primary

Addresses

Primary practice location

629 E Southmore Ave
Pasadena, TX 77502

Mailing address

629 E Southmore Ave
Pasadena, TX 77502
Phone (713) 475-1933

Other identifiers 2

IdentifierTypeStateIssuer
8F6980OtherTXBC/BS
029835805MedicaidTX

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
I20090203000541 TX Practitioner - Internal MedicinePractitioner - General Practice 7214091412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 Southmore Ave
Pasadena, TX 77502-1107
Phone (713) 475-1933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6683TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vipul M. Patel, MD.,PA Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients

Locations

629 Southmore Ave
Pasadena, TX 77502
Phone (713) 475-1933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJBICA/Endpoint/GJBICA
  • Direct secure messaging: vpatel468808@direct.stlukeshealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1700994613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "713-475-1933",
            "fax_number": "713-475-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "713-475-1933",
            "fax_number": "713-475-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8F6980",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029835805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.