Individual provider Active NPI

Rupal Patel, PA-C

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1770038739
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005498 Issued in VA
Practice address
207 Gateway Dr
Winchester, VA 22603-5835
Phone
(540) 535-1029
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 0110005498 VA Primary

Addresses

Primary practice location

207 Gateway Dr
Winchester, VA 22603-5835

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (540) 421-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161109002663 VA Practitioner - Physician Assistant 6507145869 Reassigns benefits to 1 organization
I20200623001759 DC Practitioner - Physician Assistant 6507145869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Richmond Medical Group PLLCGroup PAC ID 9931011434, 315 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

11020 Hull St Rd
Midlothian, VA 23112-3200
Phone (804) 744-6310

12 N Thompson St
Richmond, VA 23221-2718
Phone (804) 359-1337

12101 S Chalkley Rd
Chester, VA 23831-3755
Phone (804) 796-3636

1260 Temple Ave
Colonial Heights, VA 23834-2984
Phone (804) 518-2597

2205 N Parham Rd
Richmond, VA 23229-3161
Phone (804) 270-2150

2300 E Parham Rd
Henrico, VA 23228-3118
Phone (804) 264-7808

3370 Pump Rd
Richmond, VA 23233-1130
Phone (804) 360-8061

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

7238 Mechanicsville Tpke
Mechanicsville, VA 23111-3502
Phone (804) 559-9900

8110 Midlothian Tpke
North Chesterfield, VA 23235-5116
Phone (804) 320-8160

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005498VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 4, 2020 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 4, 2020 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Organizations & group practices 2

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 3

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1770038739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "540-421-4351",
            "fax_number": "804-217-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GATEWAY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226035835",
            "telephone_number": "540-535-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUPAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.