Individual provider Active NPI

Anil C Patel, MD

  • Pediatrics Physician
  • Kingsville, TX
National Provider Identifier
1902880859
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K3383 Issued in TX
Practice address
1018 S 14TH St
Kingsville, TX 78363
Phone
(361) 592-0223
Fax
(361) 592-0883
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K3383 TX Primary

Addresses

Primary practice location

1018 S 14TH St
Kingsville, TX 78363

Mailing address

1018 S 14TH St
Kingsville, TX 78363
Phone (361) 592-0223

Other identifiers 2

IdentifierTypeStateIssuer
018430101MedicaidTX
092544801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160509000617 TX Practitioner - Pediatric Medicine 9830498179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1018 S 14TH St
Kingsville, TX 78363-6422
Phone (361) 592-0223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Kids Clinic P.a. Pediatrics CurrentSince Mar 24, 2016 Accepting new patients
Coastal Bend Kids Clinic PA Pediatrics CurrentSince Mar 24, 2016 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations

1018 S 14th St
Kingsville, TX 78363
Phone (361) 592-0223

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1902880859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 S 14TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-592-0223",
            "fax_number": "361-592-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S 14TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-592-0223",
            "fax_number": "361-592-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANIL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018430101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092544801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.