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
Hospital & facility affiliations 3
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
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
- Straub Clinic and Hospital
- The Queens Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325000978 | HI | Practitioner - Internal Medicine | 5799113213 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-02865 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Medicine Services LLC | Current |
Accepting new patients | |
| Hawaii Hospital Physicians Inc | Internal Medicine | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Doly Simit Patel
- Hiten Patel
- Neelema Neelkanth Patel
- Nidhi Pamesh Patel
- Nitinkumar Patel
- Pathways Employment Services
- Gladys Paul
- Robin Yolanda Peace
- Jacob Mitchell Pearce
- Appala Suman Kumar Peela
All providers in Lumberton, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.