Active NPI
Rakesh Devendrakumar Patel, PA-C
- Physician Assistant
- Huntersville, NC
National Provider Identifier
1821574468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08307
- Practice address
- 10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7221 - Phone
- (704) 316-5388
- Fax
- (704) 316-1848
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-08307 | NC | Primary |
Addresses
Primary practice location
10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7221
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2660 Tate Blvd SE Ste 202
Hickory, NC 28602-1466
Phone (704) 662-3077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpatel669310@direct.novanthealth.org |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10305 Hamptons Park Dr
Suite 101
Huntersville, NC 28078-7221
Phone (704) 384-5520
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
- Novant Health Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08307 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- rpatel669310@direct.novanthealth.org
- rpatel436758@direct.novanthealth.org
Organizations & group practices 4
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Pulmonary Disease Physician
- Thomasville, NC
- NPI 1588372825
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1821574468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 HAMPTONS PARK DR STE 101",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787221",
"telephone_number": "704-316-5388",
"fax_number": "704-316-1848"
}
],
"practiceLocations": [
{
"address_1": "2660 Tate Blvd SE Ste 202",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286021466",
"country_code": "US",
"telephone_number": "704-662-3077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "RAKESH",
"middle_name": "DEVENDRAKUMAR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2022-04-18",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08307",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpatel669310@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2660 Tate Blvd SE Ste 202",
"city": "Hickory",
"state": "NC",
"country_code": "US",
"postal_code": "286021466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.