Organization Active NPI

Rakesh Patel, MD PLLC

Doing business as Rakesh Patel, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1871031385
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200301155 Issued in NC
Legal business name
RAKESH PATEL, MD PLLC
Doing business as
Rakesh Patel, MD
Rakesh Patel Internal Medicine
Practice address
3350 Six Forks Road
Raleigh, NC 27609-3786
Phone
(919) 239-0678
NPI assigned
Feb 3, 2017
Last updated
Jun 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Authorized official

Name
Dr. Rakesh Patel, M.D.NPI 1902889421
Title
Member and Organizer
Phone
(919) 239-0678

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 200301155 NC Primary

Addresses

Primary practice location

3350 Six Forks Road
Raleigh, NC 27609-3786

Mailing address

749 Marcellus Way
Clayton, NC 27527-3786
Phone (919) 239-0678

Other names 2

  • RAKESH PATEL, MD Doing business as
  • Rakesh Patel Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170727001256 NC Part B Supplier - Clinic/Group Practice 6305116195 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

1520 Glenwood Ave
Fl 1
Raleigh, NC 27608
Phone (919) 782-5288

Practitioners & affiliated clinicians

Practitioners 1

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687651200000",
    "number": "1871031385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 MARCELLUS WAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275273786",
            "telephone_number": "919-239-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SIX FORKS ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093786",
            "telephone_number": "919-239-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH PATEL, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "MEMBER AND ORGANIZER",
        "authorized_official_telephone_number": "919-239-0678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200301155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAKESH PATEL, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rakesh Patel Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; 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.