C G Patel MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J3872 Issued in TX

Legal business name

C G PATEL MD PA

Practice address

1411 S Highway 69
Nederland, TX 77627-7842

Phone

(409) 722-3175

Fax

(409) 727-7987

NPI assigned

Jan 2, 2008

Last updated

Jan 7, 2011By 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

Mrs. Hina C Patel

Title

Office Manager

Phone

(409) 722-3175

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Chandrakant G Patel, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Nederland, TX
  • NPI 1134154545
  Medicare reassignment

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1760667356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277842",
            "telephone_number": "409-722-3175",
            "fax_number": "409-727-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277842",
            "telephone_number": "409-722-3175",
            "fax_number": "409-727-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C G PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-722-3175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF  TX",
            "identifier": "8AU520",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115272001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134154545",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TX",
            "identifier": "0042QU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George E Brown Jr., MD
• Mallory Elizabeth Brown
• Andrew Burris, PHARMD
• Kari Butler, FNP-C
• C & M Geriatric Services LLP
• Jennifer Caltzontzin
• Jason Paul Campbell, PT
• Traci Campbell, PT, DPT
• Cara Counseling & Consulting
• Kelsie Sue Carlquist

• Specialist in Nederland, TX
• Providers in Nederland, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.