Ricky Patel, DO

Individual provider Active NPI Internal Medicine Physician · Lumberton, NC

NPI 1902256167 · NPPES record last updated Dec 18, 2019

Key facts

NPI
1902256167
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
2019-02865 (NC)
Practice address
300 W 27TH St
Lumberton, NC 28358-3075
Phone
(910) 735-8781
Fax
(910) 671-5392
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
William Carey University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Hospital Physicians Inc (18 clinicians)

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 601
Aiea, HI 96701-4713
Phone (808) 485-4250

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital · Aiea, HI · CCN 120026
  • Straub Clinic and Hospital Hospital · Honolulu, HI · CCN 120022
  • The Queens Medical Center Hospital · Honolulu, HI · CCN 120001

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250325000978 HI Practitioner - Internal Medicine 5799113213 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2019-02865NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medicine Services LLC Current
since Feb 1, 2025
Accepting new patients
Hawaii Hospital Physicians Inc Internal Medicine Current
since Apr 1, 2025
Accepting new patients

Locations

98-1079 Moanalua Rd
#601
Aiea, HI 96701
Phone (808) 485-4250

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019-02865 NC Yes

Addresses

Primary practice location

300 W 27TH St
Lumberton, NC 28358-3075

Mailing address

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 735-8781

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2019.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1902256167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-735-8781",
            "fax_number": "910-671-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-735-8781",
            "fax_number": "910-671-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RICKY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-02865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

All providers in Lumberton, NC · Internal Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.