Active NPI
Nimish Kantilal Patel, MD
- Family Medicine Physician
- Indian Land, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32108
- Practice address
- 1040 Edgewater Corporate Pkwy Suite 101
Indian Land, SC 29707-7177 - Phone
- (803) 548-7007
- NPI assigned
- Jul 10, 2008
- Last updated
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32108 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 2008-01850 | NC | |
| Family Medicine Physician | 207Q00000X | 25MA08503500 | NJ | |
| Family Medicine Physician | 207Q00000X | 4301091628 | MI |
Addresses
Primary practice location
1040 Edgewater Corporate Pkwy Suite 101
Indian Land, SC 29707-7177
Mailing address
1040 Edgewater Corp Pkwy Ste 101
Indian Land, SC 29707-4514
Phone (803) 548-7007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1028 Edgewater Corporate Pkwy
Suite 103
Indian Land, SC 29707-0187
Phone (803) 547-8660
10535 Flennigan Way
Charlotte, NC 28277-1417
Phone (803) 547-8660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301091628 | MI | MD | Family Medicine Physician |
| 2008-01850 | NC | MD | Family Medicine Physician |
| 25MA08503500 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Medical Group, PLLC | Multi-Specialty | Current | Accepting new patients |
| CMP Senior Healthcare LLC | Multi-Specialty | Current | Accepting new patients |
| Carolina Medical Partners PLLC | Multi-Specialty | Current | Accepting new patients |
| Palmetto Medical Group, PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
1028 Edgewater Corporate Pkwy
Ste 103
Indian Land, SC 29707
Phone (803) 393-4611
1040 Edgewater Corporate Pkwy
Ste 101
Indian Land, SC 29707
Phone (803) 548-7007
1040 Edgewater Corporate Pkwy
Ste 103
Indian Land, SC 29707
Phone (803) 547-8660
Interoperability endpoints
- nimish.patel@130915503177732.direct.elationemr.com
- nimish.patel@356474464829444.direct.elationemr.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fort Mill, SC
- NPI 1902411077
Multi-Specialty, NC
-
dba Palmetto Medical Group
- Internal Medicine Physician
- Indian Land, SC
- NPI 1467629261
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
dba Gentiva
- Community Based Hospice Care Agency
- Spartanburg, SC
- NPI 1861445835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1710141668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 EDGEWATER CORP PKWY STE 101",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297074514",
"telephone_number": "803-548-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 EDGEWATER CORPORATE PKWY SUITE 101",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077177",
"telephone_number": "803-548-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIMISH",
"middle_name": "KANTILAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "32108",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2008-01850",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA08503500",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301091628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.
- 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.