Active NPI
Pravin Patel, MD
- Gastroenterology Physician
- Shawnee, KS
National Provider Identifier
1760598429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0423178
- Practice address
- 7255 Renner Rd
Shawnee, KS 66217-3043 - Phone
- (913) 962-6600
- Fax
- (913) 962-1026
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0423178 | KS | Primary |
Addresses
Primary practice location
7255 Renner Rd
Shawnee, KS 66217-3043
Mailing address
5701 State Ave
Ste 100
Kansas City, KS 66102-1281
Phone (913) 962-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100117620B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0423178 | KS | MD | Gastroenterology Physician |
Interoperability endpoints
- pravin.patel.p1@direct.umg.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1760598429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 STATE AVE",
"address_2": "STE 100",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021281",
"telephone_number": "913-962-6600",
"fax_number": "913-962-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 RENNER RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662173043",
"telephone_number": "913-962-6600",
"fax_number": "913-962-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRAVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KS",
"license": "0423178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100117620B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.