Individual provider Active NPI

Vishal Jitendra Patel, M.D.

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1881853281
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0113 Issued in TX
Practice address
700 E Marshall Ave
Longview, TX 75601-5580
Phone
(903) 315-1488
Fax
(903) 315-1656
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P0113 TX Primary

Addresses

Primary practice location

700 E Marshall Ave
Longview, TX 75601-5580

Mailing address

3600 Gaston Ave
Suite 550
Dallas, TX 75246-1800

Other practice location 1

3600 Gaston Ave
Suite 550
Dallas, TX 75246-1800
Phone (214) 821-8867

Other identifiers 1

IdentifierTypeStateIssuer
1L1075OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120607000539 TX Practitioner - Internal Medicine 2567626310 Reassigns benefits to 6 organizations
I20210427001608 ME Practitioner - Internal Medicine 2567626310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians

Practice addresses (Care Compare)

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (865) 560-8423

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

50 Union St
Ellsworth, ME 04605-1534
Phone (888) 645-8829

611 N Hall St
400 Baylor Scott and White Cardiology Consult
Dallas, TX 75226-1337
Phone (469) 800-7400

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Services LLC Internal Medicine CurrentSince Jan 23, 2021 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince May 1, 2021 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Jan 2, 2018 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jan 20, 2021 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 20, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 1, 2018 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3600 Gaston Ave
Ste 558
Dallas, TX 75246

3600 Gaston Ave
Ste 550
Dallas, TX 75246
Phone (214) 821-1177

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: vishal.patel.2@8042.direct.athenahealth.com

Organizations & group practices 11

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 2

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1881853281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-1488",
            "fax_number": "903-315-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Gaston Ave",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461800",
            "country_code": "US",
            "telephone_number": "214-821-8867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L1075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.