NPIMap

Individual provider Active NPI

Parimal B Patel, MD

  • Psychiatry Physician
  • Bridgeton, MO
National Provider Identifier
1861478554
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2000165366 Issued in MO
Practice address
12255 De Paul Dr
Suite 490
Bridgeton, MO 63044-2510
Phone
(314) 344-7770
Fax
(314) 298-0556
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2000165366 MO Primary

Addresses

Primary practice location

12255 De Paul Dr
Suite 490
Bridgeton, MO 63044-2510

Mailing address

PO Box 78219
Saint Louis, MO 63178-8219
Phone (314) 344-7770

Other identifiers 1

IdentifierTypeStateIssuer
205077126MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000017 MO Practitioner - Psychiatry 6507856242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12255 De Paul Dr
Bridgeton, MO 63044-2510
Phone (314) 344-6688

Hospital & facility affiliations

  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000165366MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Hospital Northeast Current Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Chaganti and Associates PC Psychiatry Past Accepting new patients
Betty Jean Kerr People'S Health Centers PastSince Nov 1, 2021 Accepting new patients
Betty Jean Kerr People'S Health Centers PastSince Jun 19, 2017 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Betty Jean Kerr People'S Health Centers Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ppatel135041@direct.carenet.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1861478554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631788219",
            "telephone_number": "314-344-7770",
            "fax_number": "314-298-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR",
            "address_2": "SUITE 490",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442510",
            "telephone_number": "314-344-7770",
            "fax_number": "314-298-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARIMAL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2000165366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205077126",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.