Active NPI
Anil R Patel, MD
- Internal Medicine Physician
- Port Huron, MI
National Provider Identifier
1831157056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- AP044104
- Practice address
- 1205 Richardson St
Port Huron, MI 48060-3548 - Phone
- (810) 985-8144
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AP044104 | MI | Primary |
Addresses
Primary practice location
1205 Richardson St
Port Huron, MI 48060-3548
Mailing address
1205 Richardson St
Port Huron, MI 48060-3548
Phone (810) 985-8144
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110012474 | Other | MI | RAILROAD MEDICARE NUMBER |
| 1107408741 | Other | MI | BCBSM PROVIDER NUMBER |
| 72093A | Other | MI | HAP |
| 107398 | Other | MI | CARE CHOICES |
| 4071398 | Other | MI | AETNA PROVIDER NUMBER |
Other names 1
- Anilkumar R Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP044104 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1831157056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 RICHARDSON ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603548",
"telephone_number": "810-985-8144",
"fax_number": "810-985-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 RICHARDSON ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603548",
"telephone_number": "810-985-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANIL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "AP044104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "110012474",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PROVIDER NUMBER",
"identifier": "1107408741",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "72093A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "107398",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4071398",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANILKUMAR",
"last_name": "PATEL",
"middle_name": "R",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.