Vipul M. Patel, MD.,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIPUL M. PATEL, MD.,PA

Practice address

629 E Southmore
Pasadena, TX 77502-1107

Phone

(713) 475-1933

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Vipul M Patel, MDNPI 1700994613

Title

Owner

Phone

(713) 475-1933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southmore Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Vipul M Patel, MD

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1700994613
  Medicare reassignment NPD Authorized official
• Blessy S Jacob, DNP

  • Primary Care Nurse Practitioner
  • Houston, TX
  • NPI 1831499029
  Medicare reassignment NPD
• Imran Shafi, P.A.

  • Physician Assistant
  • Sugar Land, TX
  • NPI 1831531417
  Medicare reassignment
• Nibu Mathew, M.D.

  • Internal Medicine Physician
  • Alvin, TX
  • NPI 1538231261
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1760666002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "713-475-1933",
            "fax_number": "713-475-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E SOUTHMORE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021107",
            "telephone_number": "713-475-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPUL M. PATEL, MD.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-475-1933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027HQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southmore Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Villa and Serna Inc.
• Jeanette Villagomez, MA, CFY-SLP
• Joy Danielle Villarreal, M.A., L.P.C.
• Melany Villarreal, LMSW
• Jordan Vincent, PT, DPT
• Vision I Care Inc
• Visionworks, Inc.
• Visionworks, Inc.
• Vista Community Medical Center LLP
• Vista Continuing Care Center Inc

• Internal Medicine Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.