NPIMap

Individual provider Active NPI

Pavan Patel, M.D.

  • Gastroenterology Physician
  • Concord, NC
National Provider Identifier
1760748156
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2020-00631 Issued in NC
Practice address
1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone
(973) 972-6056
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09912000 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 2020-00631 NC Primary

Addresses

Primary practice location

1070 Vinehaven Dr NE
Concord, NC 28025-2438

Mailing address

1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 783-1840

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Url

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707000420 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 9234483157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Cabarrus Gastroenterology Associates PLLCGroup PAC ID 9436059649, 51 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 783-1840

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Upper gastrointestinal (GI) endoscopy for acid reflux145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020-00631NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Oct 15, 2020 Accepting new patients
Carolinas Medical Center CurrentSince Oct 15, 2020 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Gastroenterology CurrentSince Jul 1, 2020 Accepting new patients
Novant Health Rowan Endoscopy Center, LLC CurrentSince Mar 10, 2026 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Gastroenterology CurrentSince Jul 1, 2020 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

9965 Poplar Tent Rd
Concord, NC 28027
Phone (704) 783-1840

1070 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 783-1840

510 Corporate Cir
#1001
Salisbury, NC 28147
Phone (704) 783-1840

510 Corporate Cir
#1000
Salisbury, NC 28147
Phone (704) 783-1840

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

522 Corporate Cir
Salisbury, NC 28147
Phone (704) 210-6918

Interoperability endpoints

  • Direct secure messaging: ppatel537307@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1760748156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "704-783-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "973-972-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09912000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2020-00631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Url",
            "affiliation": "N",
            "address_1": "1070 Vinehaven Dr NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.