Active NPI
Nirav Patel, M.D.
- Cardiovascular Disease Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 48662
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396033379 | Other | TN | NPI |
| 1529362 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120814000315 | TN | Practitioner - Cardiovascular Disease (Cardiology) | 9436247731 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delta Clinics PLC
Practice addresses (Care Compare)
17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Dyersburg Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.78 of 100
- Quality
- 79.9
- Improvement activities
- 40
- Cost
- 80.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 42 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000481 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| West Tennessee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Delta Clinics, PLC | Cardiovascular Disease | Current | Accepting new patients |
| 24 On Physicians, PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | 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
- npatel13892@direct.bmhcc.org
- niravpatel@hvcwtn.allscriptsdirect.net
- 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.
-
- Cardiovascular Disease Physician
- Lexington, TN
- NPI 1396033379
Cardiovascular Disease, TN
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Internal Medicine, TN
-
- Medicare Defined Swing Bed Hospital Unit
- Ripley, TN
- NPI 1356973663
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.