Specialist in Infectious Diseases, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

SPECIALIST IN INFECTIOUS DISEASES, LLC

Practice address

1404 Gunston CT
Chesapeake, VA 23322-8100

Phone

(757) 650-2725

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Manali Patel, MDNPI 1689752644

Title

Owner

Phone

(502) 558-4687

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manali R Patel, M.D.

  • Infectious Disease Physician
  • Portsmouth, VA
  • NPI 1689752644
  Medicare reassignment Authorized official
• Ursula Marta Kelly, MD

  • Infectious Disease Physician
  • Norfolk, VA
  • NPI 1205099322
  Medicare reassignment NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1871775734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 GUNSTON CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228100",
            "telephone_number": "757-650-2725",
            "fax_number": "812-944-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 GUNSTON CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228100",
            "telephone_number": "757-650-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 State St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504990",
            "country_code": "US",
            "telephone_number": "805-558-4687",
            "fax_number": "812-944-5403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALIST IN INFECTIOUS DISEASES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-558-4687",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200858870A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64130487",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sparrow Pharmacy LLC (Cavalier Drugs)
• Keysha Nicole Sparrow
• Shwanda Davis Sparrow
• Speak With Boldness, LLC
• Kim Speaks, RN
• Speechequip Therapy Services, PLLC
• Tammy L Speerhas, FNP-C
• Sharon Spellman
• Jimmy Wayne Spelts, PMHNP-BC
• Jonathan William Spence, P.A.

• Infectious Disease Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Infectious Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.