Niravkumar Narendrabhai Patel, MD
Individual provider Active NPI Internal Medicine Physician · Abingdon, VA
NPI 1891264099 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1891264099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0116032371 (VA)
- Practice address
- 16000 Johnston Memorial Dr
Abingdon, VA 24211-7664 - Phone
- (276) 258-4455
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322000061 | VA | Practitioner - Internal Medicine | 4981940749 | Reassigns benefits to 1 organization |
| I20220325000302 | TN | Practitioner - Internal Medicine | 4981940749 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Wellmont Medical Associates Inc | Internal Medicine | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Internal Medicine | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0116032371 | VA | Yes |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Mailing address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-4455
Other providers in Abingdon, VA
- Patricia Ann Owens
- Oxbow Physician Services LLC
- Samantha Palmer
- Stephanie Rae Parker
- Niken Patel
- Rahulkumar Mangubhai Patel
- Ravi Patel
- Patient Resource Management, Inc
- John Byron Patterson
- John S Paul
All providers in Abingdon, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.