Active NPI
Jashbhai N Patel, M.D.
- Surgery Physician
- Grundy, VA
National Provider Identifier
1801857743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101033235
- 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, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1308637 | Other | FUNDS | |
| 017128500 | Other | BLACK LUNG | |
| 007374551 | Medicaid | VA | |
| 0128711000 | Medicaid | WV | |
| 64663222 | Medicaid | KY | |
| P 00295752 | Other | VA | MEDICARE RAILROAD |
| 001876 | Other | VA | ANTHEM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Health Care LLC | Current | 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.
-
- Specialist
- Grundy, VA
- NPI 1609808484
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.