Individual provider Active NPI

Jashbhai N Patel, M.D.

  • Surgery Physician
  • Grundy, VA
National Provider Identifier
1801857743
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101033235 Issued in VA
Practice address
1520 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975
Phone
(276) 935-6476
Fax
(276) 395-4430
NPI assigned
Mar 30, 2006
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101033235 VA Primary

Addresses

Primary practice location

1520 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975

Mailing address

111 Plantation Dr
Richlands, VA 24641-2790
Phone (276) 935-6476

Other identifiers 7

IdentifierTypeStateIssuer
1308637OtherFUNDS
017128500OtherBLACK LUNG
007374551MedicaidVA
0128711000MedicaidWV
64663222MedicaidKY
P 00295752OtherVAMEDICARE RAILROAD
001876OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20031107000571 VA Practitioner - General Surgery 4789597501 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan Health Care LLC CurrentSince Feb 7, 2016 Accepting new patients

Locations

1532 Slate Creek Rd
#204
Grundy, VA 24614
Phone (276) 935-1167

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1801857743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PLANTATION DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412790",
            "telephone_number": "276-935-6476",
            "fax_number": "276-935-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SLATE CREEK RD",
            "address_2": "SUITE 101",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146975",
            "telephone_number": "276-935-6476",
            "fax_number": "276-395-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JASHBHAI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101033235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FUNDS",
            "identifier": "1308637",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "017128500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007374551",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128711000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64663222",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P 00295752",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "001876",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.