Mahesh B Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16181 Issued in WV

Practice address

240 Main Street
Bradshaw, WV 24817

Phone

(304) 967-5034

Fax

(815) 377-3542

NPI assigned

Apr 17, 2006

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mahesh B. Patel

  • Rural Health Clinic/Center
  • Bradshaw, WV
  • NPI 1912963869

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Mahesh B. Patel

  dba Yukon Medical Clinic

  • Rural Health Clinic/Center
  • War, WV
  • NPI 1942266887

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Mahesh B. Patel

  • Rural Health Clinic/Center
  • Bradshaw, WV
  • NPI 1912963869
  Authorized official Same address or phone

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1902860877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "address_2": "240 MAIN STREET",
            "city": "BRADSHAW",
            "state": "WV",
            "postal_code": "248170240",
            "telephone_number": "304-967-5034",
            "fax_number": "815-377-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAIN STREET",
            "city": "BRADSHAW",
            "state": "WV",
            "postal_code": "24817",
            "telephone_number": "304-967-5034",
            "fax_number": "815-377-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAHESH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "16181",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "45450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010059798",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072908001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hometown Professional Counseling LLC
• Shannon Nichole Hypes
• Brittany Lester
• Tracey L Lester, FNP-BC
• Mahesh B. Patel
• Abigail Jaiden Lerea Pruitt
• Lisa Ann Remines
• Angguna R Rowe, M.ED, NCC,LPC
• Tug River Health Association, Inc.
• Tug River Health Association, Inc.

• Internal Medicine Physician in Bradshaw, WV
• Providers in Bradshaw, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.