Individual provider Active NPI

Rakesh Amrutlal Patel, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1902889421
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200301155 Issued in NC
Practice address
3350 Six Forks Rd
Raleigh, NC 27609-7233
Phone
(919) 782-5288
Fax
(919) 782-5287
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200301155 NC Primary

Addresses

Primary practice location

3350 Six Forks Rd
Raleigh, NC 27609-7233

Mailing address

3350 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 782-5288

Other identifiers 2

IdentifierTypeStateIssuer
8913404MedicaidNC
13404OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070207000134 NC Practitioner - Internal Medicine 0840292694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3350 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 782-5288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200301155NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Patel, MD PLLC Internal Medicine CurrentSince Apr 17, 2017 Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Comprehensive Hospitalist Services of North Carolina LLC Past Accepting new patients
Unc Physicians Network LLC Internal Medicine Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
Statesville Hma Physician Management, Inc Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
NC Comprehensive Hospitalists PLLC Past Accepting new patients

Locations

1520 Glenwood Ave
Fl 1
Raleigh, NC 27608
Phone (919) 782-5288

3350 Six Forks Rd
Raleigh, NC 27609
Phone (919) 556-1008

Organizations & group practices 8

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1902889421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-782-5288",
            "fax_number": "919-782-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-782-5288",
            "fax_number": "919-782-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAKESH",
        "middle_name": "AMRUTLAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200301155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913404",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.