Individual provider Active NPI

Nirav Patel, M.D.

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1790907418
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
48662 Issued in TN
Practice address
17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone
(731) 512-0104
Fax
(731) 668-7388
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 48662 TN Primary
Internal Medicine Physician 207R00000X 000481 GA

Addresses

Primary practice location

17 Centre Plaza Dr
Jackson, TN 38305-2862

Mailing address

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Other identifiers 2

IdentifierTypeStateIssuer
1396033379OtherTNNPI
1529362MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address niravpatel@hvcwtn.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120814000315 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9436247731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Clinics PLC 14 clinicians

Practice addresses (Care Compare)

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
79.9
Improvement activities
40
Cost
80.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000481GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lauderdale Community Hospital LLC CurrentSince May 1, 2022 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince May 1, 2022 Accepting new patients
West Tennessee Medical Group Inc Internal Medicine CurrentSince Jan 22, 2022 Accepting new patients
Delta Clinics, PLC Cardiovascular Disease CurrentSince Feb 17, 2016 Accepting new patients
24 On Physicians, PC CurrentSince Jun 17, 2008 Accepting new patients
24 On Physicians, P.C. CurrentSince Jun 17, 2008 Accepting new patients
Apogee Medical Group Georgia Internal Medicine Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

640 Nuckolls Rd
Bolivar, TN 38008
Phone (615) 260-8829

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1716 Parr Ave
Ste C
Dyersburg, TN 38024
Phone (731) 285-2324

1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393

350 E Parkview St
Dyersburg, TN 38024
Phone (731) 285-1888

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104

587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510

9486 Highway 412 W
Lexington, TN 38351
Phone (731) 512-0104

164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

205 Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-6005

405 Tyson Ave
Paris, TN 38242
Phone (731) 394-3499

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

Interoperability endpoints

  • Direct secure messaging: npatel13892@direct.bmhcc.org
  • Direct secure messaging: niravpatel@hvcwtn.allscriptsdirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

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 2

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1790907418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CENTRE PLAZA DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052862",
            "telephone_number": "731-512-0104",
            "fax_number": "731-668-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CENTRE PLAZA DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052862",
            "telephone_number": "731-512-0104",
            "fax_number": "731-668-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "48662",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "000481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396033379",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529362",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "niravpatel@hvcwtn.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "17 Centre Plaza Dr",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383052862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.