Individual provider Active NPI

Pritesh Jitendrakumar Patel, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1851041719
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13094 Issued in NC
Practice address
7750 Ten Ten Rd
Raleigh, NC 27603
Phone
(919) 235-1500
NPI assigned
Mar 24, 2022
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13094 NC Primary

Addresses

Primary practice location

7750 Ten Ten Rd
Raleigh, NC 27603

Mailing address

PO Box 602195
Charlotte, NC 28260-2195
Phone (919) 350-8000

Other practice location 1

613 S Memorial Dr
Greenville, NC 27834-2856
Phone (252) 413-0720 ext. 212

Other practice location 2

3050 Duraleigh Rd Ste 111
Raleigh, NC 27612-5451
Phone (984) 215-6990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppatel559199@direct.unc.nchie.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510003646 NC Practitioner - Physician Assistant 0547626830 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

1059 Beaver Creek Commons Dr
Unit 230
Apex, NC 27502-3918
Phone (984) 960-1300

1104 Market Ctr Dr
Suite 130
Morrisville, NC 27560-7504
Phone (984) 960-1200

1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone (919) 481-0277

4420 Lake Boone TRL
Raleigh, NC 27607-7505

615 S Hughes Blvd
Elizabeth City, NC 27909-4785
Phone (252) 338-3111

824 S Van Buren Rd
Suite F
Eden, NC 27288-5300
Phone (336) 589-6399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC CurrentSince Dec 3, 2023 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Nov 13, 2023 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Nov 13, 2023 Accepting new patients
Wake Specialty Physicians LLC PastSince May 16, 2021 Accepting new patients
DRX High Point, PLLC PastSince May 12, 2024 Accepting new patients
Wake Specialty Physicians LLC PastSince Nov 8, 2025 Accepting new patients
Wake Specialty Physicians LLC PastSince Jul 24, 2022 Accepting new patients
Greenville Health Care Center,PA Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

7021 NC Highway 751
Durham, NC 27707
Phone (919) 235-0365

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930

6800 Glenwood Ave
Raleigh, NC 27612
Phone (919) 235-1939

815 Springfield Commons Dr
Raleigh, NC 27609
Phone (919) 235-1400

2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155

1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1851041719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 TEN TEN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-235-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342856",
            "country_code": "US",
            "telephone_number": "252-413-0720 x212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Duraleigh Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125451",
            "country_code": "US",
            "telephone_number": "984-215-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITESH",
        "middle_name": "JITENDRAKUMAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppatel559199@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3050 Duraleigh Rd Ste 111",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276125451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.