Active NPI
Dinkar N Patel, M.D.
- Internal Medicine Physician
- Grundy, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101034343
- Practice address
- 1520 Slate Creek Rd
Grundy, VA 24614-6975 - Phone
- (276) 935-2148
- Fax
- (276) 935-7270
- NPI assigned
- Mar 17, 2006
- Last updated
- Mar 11, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101034343 | VA | Primary |
Addresses
Primary practice location
1520 Slate Creek Rd
Grundy, VA 24614-6975
Mailing address
1520 Slate Creek Rd
Grundy, VA 24614-6975
Phone (276) 935-2148
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178386 | Other | VA | ANTHEM BCBS |
| 610110700 | Other | VA | FEDERAL BLACK LUNG |
| 006091211 | Medicaid | VA | |
| 0083699000 | Medicaid | WV | |
| 5592051 | Other | VA | AETNA |
| 64662224 | Medicaid | KY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 Slate Creek Rd
Grundy, VA 24614-6975
Phone (276) 935-6055
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101034343 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri State Clinic, Inc. | Current | Accepting new patients | |
| Tri State Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
1520 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-2148
1520 Slate Creek Rd
Ste 101
Grundy, VA 24614
Phone (276) 935-6476
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Tri State Rural Health Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (25%) General Partnership Interest Operational/Managerial Control (25%) |
Jan 1, 1986 Jan 7, 2008 Jan 1, 2006 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Tri State Rural Health Clinic
- Rural Health Clinic/Center
- Grundy, VA
- NPI 1124097795
5% Or Greater Direct Ownership Interest, General Partnership Interest, Operational/Managerial Control
Organizations & group practices 2
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.
-
dba Tri State Rural Health Clinic
- Internal Medicine Physician
- Grundy, VA
- NPI 1518083971
-
dba Tri State Rural Health Clinic
- Rural Health Clinic/Center
- Grundy, VA
- NPI 1124097795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1831168004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SLATE CREEK RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246146975",
"telephone_number": "276-935-2148",
"fax_number": "276-935-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SLATE CREEK RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246146975",
"telephone_number": "276-935-2148",
"fax_number": "276-935-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DINKAR",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101034343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "178386",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "610110700",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006091211",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0083699000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5592051",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64662224",
"state": "KY"
}
],
"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 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.