NPIMap

Organization Active NPI

Pitt Internal Medicine PLLC

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1740465343
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9300558 Issued in NC
Legal business name
PITT INTERNAL MEDICINE PLLC
Practice address
705 W H Smith Blvd
Greenville, NC 27834-3752
Phone
(252) 757-3266
Fax
(252) 757-0132
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Jignasa J Patel, M.D.
Title
Owner
Phone
(252) 757-3266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9300558 NC Primary

Addresses

Primary practice location

705 W H Smith Blvd
Greenville, NC 27834-3752

Mailing address

705 W Hsmith Blvd
Greenville, NC 27834-3752
Phone (252) 757-3266

Other identifiers 1

IdentifierTypeStateIssuer
5912437MedicaidNC

National Provider Directory

National Provider Directory

Locations

705 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 329-8482

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1740465343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W HSMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343752",
            "telephone_number": "252-757-3266",
            "fax_number": "252-757-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W H SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343752",
            "telephone_number": "252-757-3266",
            "fax_number": "252-757-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITT INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNASA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-757-3266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9300558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912437",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.