Individual provider Active NPI

Jaimita V Patel, M.D.

  • Family Medicine Physician
  • Angier, NC
National Provider Identifier
1851442677
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-01781 Issued in NC
Practice address
84 Medical Dr
Angier, NC 27501-6087
Phone
(919) 639-2122
Fax
(919) 639-8685
NPI assigned
Jan 16, 2007
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-01781 NC Primary

Addresses

Primary practice location

84 Medical Dr
Angier, NC 27501-6087

Mailing address

PO Drawer B, Hwy 421
1000 Medical Center Road
Mamers, NC 27552
Phone (910) 893-5402

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000606 NC Practitioner - Family Practice 0042316739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh Family Practice, P.a.Group PAC ID 0840292637, 6 clinicians

Practice addresses (Care Compare)

4414 Lake Boone TRL
Suite 502
Raleigh, NC 27607-7521
Phone (919) 875-0539

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-01781NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Family Practice PA Family Medicine CurrentSince Mar 26, 2016 Accepting new patients
First Choice Community Health Centers Past Accepting new patients
Raleigh Family Practice, P.a. PastSince Mar 26, 2016 Accepting new patients
First Choice Community Health Centers Family Medicine Past Accepting new patients
First Choice Community Health Centers Family Medicine Past Accepting new patients
First Choice Community Health Centers Family Medicine Past Accepting new patients

Locations

4414 Lake Boone Trl
Ste 502
Raleigh, NC 27607
Phone (919) 875-0539

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30034/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaimita.patel.1@30034.direct.athenahealth.com
  • Direct secure messaging: jaimitapatel@rfpnc.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1851442677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER B, HWY 421",
            "address_2": "1000 MEDICAL CENTER ROAD",
            "city": "MAMERS",
            "state": "NC",
            "postal_code": "27552",
            "telephone_number": "910-893-5402",
            "fax_number": "910-893-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MEDICAL DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016087",
            "telephone_number": "919-639-2122",
            "fax_number": "919-639-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAIMITA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, NC

Sources for this page

Verify at the official NPI Registry.