Individual provider Active NPI

Padmaja M Patel, M.D.

  • Internal Medicine Physician
  • Midland, TX
National Provider Identifier
1861408890
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6681 Issued in TX
Practice address
4214 Andrews Hwy Ste 102
Midland, TX 79703-4815
Phone
(432) 689-0291
NPI assigned
Jul 31, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X K6681 TX
Internal Medicine Physician 207R00000X K6681 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy Ste 102
Midland, TX 79703-4815

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6605

Other practice location 1

4214 Andrews Hwy Ste 107
Midland, TX 79703-4813
Phone (432) 221-5433

Other practice location 2

4214 Andrews Hwy # 109
Midland, TX 79703-4822
Phone (432) 221-2200

Other identifiers 3

IdentifierTypeStateIssuer
165925201MedicaidTX
079837301OtherTXMCAID- PREMIER
774823OtherTXTX MEDICARE-PREMIER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address padmaja.patel.1@3522.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040618000059 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7315921087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midland County Hospital District Past Accepting new patients
MMH Physicians Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1861408890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-686-6605",
            "fax_number": "432-682-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 102",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034815",
            "telephone_number": "432-689-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 Andrews Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797034813",
            "country_code": "US",
            "telephone_number": "432-221-5433",
            "fax_number": "432-221-3096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4214 Andrews Hwy # 109",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797034822",
            "country_code": "US",
            "telephone_number": "432-221-2200",
            "fax_number": "432-221-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PADMAJA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "TX",
            "license": "K6681",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165925201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID- PREMIER",
            "identifier": "079837301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICARE-PREMIER",
            "identifier": "774823",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padmaja.patel.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4214 Andrews Hwy Ste 107",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797034813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.