Kishor Patel MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KISHOR PATEL MD LLC

Practice address

21851 Center Ridge Rd
405
Rocky River, OH 44116-3976

Phone

(440) 333-5822

Fax

(440) 333-5824

NPI assigned

Mar 18, 2021

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kishor Patel, MDNPI 1073613626

Title

Direct Owner

Phone

(216) 262-2050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kishor Patel I, MD

  • Internal Medicine Physician
  • Rocky River, OH
  • NPI 1073613626
  Medicare reassignment NPD Authorized official
• Mary E Klecka, MD

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1942564802
  Medicare reassignment NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1710563028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "405",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-5822",
            "fax_number": "440-333-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "405",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-5822",
            "fax_number": "440-333-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHOR PATEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "216-262-2050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0814855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Kimble
• John Leon Kinsley, DDS
• Holly Elizabeth Kirk, LPCC
• Katherine Kirkholder, LPCC
• Kishor Patel MD
• Louis D Klein, MD
• Jenny M Knap, MSSA
• David William Knight, D.D.S.
• Robert William Knight, DDS
• Nathan Anthony Kopechek, DPT,PT

• Internal Medicine Physician in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.