NPIMap

Individual provider Active NPI

Paulina Narendra Patel, MD

  • Emergency Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1902250707
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82167 Issued in SC
Practice address
101 E Wood St
Spartanburg, SC 29303-3040
Phone
(864) 560-6000
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82167 SC Primary

Addresses

Primary practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3486
Phone (304) 598-1200

Other identifiers 3

IdentifierTypeStateIssuer
SCF8609068OtherSCMEDICARE PIN
SCF8608510OtherSCMEDICARE PIN
821677MedicaidSC

Other names 1

  • Dr. Paulina Patel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190116002085 WV Practitioner - Emergency Medicine 1759671951 Reassigns benefits to 1 organization
I20190924001505 SC Practitioner - Emergency Medicine 1759671951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Pelham Medical CenterGroup PAC ID 2365519097, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6654

250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 530-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27935WVMDLicensed Practical Nurse
82167SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Medical Center CurrentSince Aug 19, 2019 Accepting new patients
Spartanburg Medical Center Emergency Medicine CurrentSince Aug 19, 2019 Accepting new patients
Pelham Medical Center Emergency Medicine CurrentSince Aug 19, 2019 Accepting new patients
Webster County Memorial Hospital CurrentSince Feb 16, 2019 Accepting new patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Dec 18, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Aug 19, 2019 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Organizations & group practices 6

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 8

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1902250707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053486",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAULINA",
        "middle_name": "NARENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "82167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCF8609068",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCF8608510",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821677",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINA",
            "last_name": "PATEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.