Individual provider Active NPI

Subhashchandra J Patel, MD

  • Orthopaedic Surgery Physician
  • West Columbia, SC
National Provider Identifier
1891771804
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10450 Issued in SC
Practice address
146 N Hospital Dr
Ste 350
West Columbia, SC 29169-4800
Phone
(803) 936-7966
Fax
(803) 936-7938
NPI assigned
Dec 21, 2005
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10450 SC
Orthopaedic Surgery Physician 207X00000X 10450 SC Primary

Addresses

Primary practice location

146 N Hospital Dr
Ste 350
West Columbia, SC 29169-4800

Mailing address

PO Box 2022
West Columbia, SC 29171-2022
Phone (803) 936-7966

Other identifiers 1

IdentifierTypeStateIssuer
104504MedicaidSC

Other names 1

  • Subhash J Patel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000239 SC Practitioner - Orthopedic Surgery 4789577669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10450SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Jan 1, 2019 Accepting new patients
Providence Orthopaedic Group LLC Orthopaedic Surgery Past Accepting new patients
Pain Medicine Specialists, PA Specialist Past Accepting new patients
Palmetto Orthopaedic Clinic, PA Specialist PastSince Jan 1, 2004 Accepting new patients
Carolina Orthopaedic and Sports Medicine, P.a. Orthopaedic Surgery Past Accepting new patients
Nimco L.L.C Past Accepting new patients

Locations

1115 State St
Cayce, SC 29033
Phone (803) 939-0174

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFJBD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1891771804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291712022",
            "telephone_number": "803-936-7966",
            "fax_number": "803-936-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N HOSPITAL DR",
            "address_2": "STE 350",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-936-7966",
            "fax_number": "803-936-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUBHASHCHANDRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "10450",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "10450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUBHASH",
            "last_name": "PATEL",
            "middle_name": "J",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.