NPIMap

Individual provider Active NPI

Piyush R Patel, MD

  • Internal Medicine Physician
  • Centreville, VA
National Provider Identifier
1821055625
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101047220 Issued in VA
Practice address
13880 Braddock Rd
Ste 209
Centreville, VA 20121
Phone
(703) 818-2772
Fax
(703) 818-2773
NPI assigned
Apr 27, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 0101047220 VA Primary

Addresses

Primary practice location

13880 Braddock Rd
Ste 209
Centreville, VA 20121

Mailing address

13880 Braddock Rd
Ste 209
Centreville, VA 20121
Phone (703) 818-2772

Other identifiers 2

IdentifierTypeStateIssuer
110075325OtherVARAILROAD MEDICARE
6004008MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000964 DC Practitioner - Internal Medicine 5890740096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13880 Braddock Rd
Suite 209
Centreville, VA 20121-2463
Phone (703) 818-2772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047220VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piyush R Patel MD, PC Internal Medicine CurrentSince Aug 19, 2012 Accepting new patients

Locations

13880 Braddock Rd
Ste 209
Centreville, VA 20121
Phone (703) 818-2772

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
August Healthcare at IliffDunn Loring, VA, CCN 495205 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Jun 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Iliff Opco LLC

    dba August Healthcare at Iliff

    • Skilled Nursing Facility
    • Dunn Loring, VA
    • NPI 1700657822

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

Hospital & facility affiliations 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1821055625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "STE 209",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-818-2772",
            "fax_number": "703-818-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "STE 209",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-818-2772",
            "fax_number": "703-818-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PIYUSH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101047220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110075325",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004008",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.