Manish Govind Patel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200001518 Issued in NC

Practice address

128 Medical Park Rd
Suite 101
Mooresville, NC 28117-8578

Phone

(704) 658-1001

Fax

(704) 658-1002

NPI assigned

Nov 7, 2005

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Internal Medicine

Education

Medical College of Georgia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Norman Home Health Home health agency, Mooresville, NC, CCN 347215
• Hospice of Iredell County, Inc Hospice, Statesville, NC, CCN 341517
• Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manishpatel@phc.allscriptsdirect.net

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.

• Piedmont Healthcare, P.a.

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1912999897

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Piedmont Healthcare, PA

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1639041320
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duke Health Lake Norman Regional Medical Center, Inc.

  dba Duke Health Lake Norman Hospital

  • General Acute Care Hospital
  • Mooresville, NC
  • NPI 1114731064
  Care Compare affiliation
• Hospice of Iredell County, Inc

  • Community Based Hospice Care Agency
  • Statesville, NC
  • NPI 1336243997
  Care Compare affiliation
• Mooresville Home Care Services, LLC

  dba Lake Norman Home Health

  • Home Health Agency
  • Mooresville, NC
  • NPI 1942683503
  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1750362950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SIGNAL HILL DRIVE EXT",
            "address_2": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254353",
            "telephone_number": "704-873-4277",
            "fax_number": "704-873-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEDICAL PARK RD",
            "address_2": "SUITE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178578",
            "telephone_number": "704-658-1001",
            "fax_number": "704-658-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "GOVIND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200001518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912991",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smitha Reddy Pasula, M.D.
• Ankit J Patel, RPH
• Isha Ankitkumar Patel, MPT
• Jennifer Patel
• Jitendra Patel, MD
• Manisha D Patel, DDS
• Nila Dipen Patel, RPH
• Nishi Patel, PA-C
• Pritibala S Patel, RPH
• Rajal Mahesh Patel, M.D., M.P.H.

• Family Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.

Verify at the official NPI Registry.