NPIMap

Individual provider Active NPI

Nainesh M Patel, MD

  • Specialist
  • Beckley, WV
National Provider Identifier
1861483695
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19985 Issued in WV
Practice address
207 Sunset Dr
Beckley, WV 25801-2825
Phone
(304) 255-5723
Fax
(304) 929-3953
NPI assigned
Nov 1, 2005
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19985 WV Primary

Addresses

Primary practice location

207 Sunset Dr
Beckley, WV 25801-2825

Mailing address

PO Box 787
Crab Orchard, WV 25827-0787
Phone (304) 253-5793

Other identifiers 3

IdentifierTypeStateIssuer
P00089431OtherWVRR MCARE
001722660OtherWVBC
6000475000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040301000373 WV Practitioner - Gastroenterology 6608762661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Sunset Dr
Beckley, WV 25801-2825
Phone (304) 255-5723

PO Box
Suite 787
Craborchard, WV 25827

PO Box
Suite 934
Daniels, WV 25832-0934

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tracie M Mallberg MD PC Past Accepting new patients
Apex Physical Therapy and Wellness Center, PC Past Accepting new patients
Appalachian Gastroenterology, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nainesh.patel@wvafn.hcadirect.net
  • Direct secure messaging: naineshpatel@arh.medalliesdirect.net

Organizations & group practices 4

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 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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1861483695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258270787",
            "telephone_number": "304-253-5793",
            "fax_number": "304-253-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SUNSET DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012825",
            "telephone_number": "304-255-5723",
            "fax_number": "304-929-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NAINESH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "19985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00089431",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "001722660",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000475000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.