Individual provider Active NPI

Rakesh Dahyabhai Patel, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1790970085
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9500177 Issued in NC
Practice address
Dorothea Dix Hospital
3601 Mail Service Center
Raleigh, NC 27699-0001
Phone
(919) 766-0740
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9500177 NC Primary

Addresses

Primary practice location

Dorothea Dix Hospital
3601 Mail Service Center
Raleigh, NC 27699-0001

Mailing address

9230 Sally LN
Apt 2E
Schiller Park, IL 60176-2315
Phone (847) 671-5936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151218001286 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6901984665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9500177NCMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1790970085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 SALLY LN",
            "address_2": "APT 2E",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762315",
            "telephone_number": "847-671-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOROTHEA DIX HOSPITAL",
            "address_2": "3601 MAIL SERVICE CENTER",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276990001",
            "telephone_number": "919-766-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAKESH",
        "middle_name": "DAHYABHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9500177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.