Kunthavai S. Patel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MS13688 Issued in MS

Practice address

208 Country Club Road
Houston, MS 38851

Phone

(662) 456-3437

Fax

(662) 456-2070

NPI assigned

Nov 9, 2005

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486
  Medicare reassignment NPD
• North Mississippi Medical Clinics Inc

  dba Pulmonary Consultants

  • Pulmonary Disease Physician
  • Tupelo, MS
  • NPI 1104937143
  NPD
• North Mississippi Medical Clinics Inc

  dba The Women's Group West Point

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD
• Progressive Health of Houston, LLC

  dba Progressive Health Group of Houston

  • Rural Acute Care Hospital
  • Houston, MS
  • NPI 1639936396
  NPD
• Southern Health Corp. of Houston, Inc

  dba Family Medical Clinic of Houston

  • Rural Health Clinic/Center
  • Houston, MS
  • NPI 1083721732
  NPD (past)
• Southern Health Corp. of Houston, Inc.

  dba Family Medical Clinic of Okolona

  • Clinic/Center
  • Okolona, MS
  • NPI 1922174655
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1891776530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COUNTRY CLUB ROAD",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "38851",
            "telephone_number": "662-456-3437",
            "fax_number": "662-456-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COUNTRY CLUB ROAD",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "38851",
            "telephone_number": "662-456-3437",
            "fax_number": "662-456-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUNTHAVAI",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "MS13688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112962",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Mississippi Counseling, PLLC.
• North Mississippi Foot Specialists PC
• North Mississippi Medical Clinics Inc (Chickasaw Medical Clinic)
• Jerry Chris Oswalt, D.M.D.
• Andrew Parrish, PT, DPT
• David Heath Pearson
• Walter Stephen Pearson Sr., RPH- PHARMACIST
• Pearsons Discount Drugs LLC
• Pearsons Discount Drugs LLC
• Jan Sherlene Poley, FNP

• Specialist in Houston, MS
• Providers in Houston, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.