Organization Active NPI

Kamlesh Parekh

  • Internal Medicine Physician
  • Senatobia, MS
National Provider Identifier
1851419667
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14012 Issued in MS
Legal business name
KAMLESH PAREKH
Practice address
300 E Main Street PLZ
Senatobia, MS 38668-2227
Phone
(662) 562-8278
Fax
(662) 562-8279
NPI assigned
Mar 27, 2007
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Kamlesh Parekh, MDNPI 1932126083
Title
Owner
Phone
(662) 562-8278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R842318 MS
Women's Health Nurse Practitioner 363LW0102X R138480 MS
Internal Medicine Physician 207R00000X 14012 MS Primary

Addresses

Primary practice location

300 E Main Street PLZ
Senatobia, MS 38668-2227

Mailing address

PO Box 247
Hernando, MS 38632-0247
Phone (662) 562-8278

Other identifiers 4

IdentifierTypeStateIssuer
00124064MedicaidMS
00114201MedicaidMS
05985004MedicaidMS
00123998MedicaidMS

Other names 1

  • Parekh Medical Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000999 MS Part B Supplier - Clinic/Group Practice 6305825738 Receives reassigned benefits from 7 practitioners
Practice locations: Senatobia, MS

National Provider Directory

National Provider Directory

Locations

300 E Main Street Plz
Senatobia, MS 38668
Phone (662) 562-8278

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1851419667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386320247",
            "telephone_number": "662-562-8278",
            "fax_number": "662-562-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN STREET PLZ",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682227",
            "telephone_number": "662-562-8278",
            "fax_number": "662-562-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMLESH PAREKH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-562-8278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R842318",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R138480",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124064",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114201",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05985004",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123998",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parekh Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.