Bakul Kumar Patel

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2013-00007 Issued in NC

Practice address

1129 N Main St Ste G
South Boston, VA 24592-2547

Phone

(434) 572-8196

Fax

(434) 572-8341

NPI assigned

Aug 1, 2006

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

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 2

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Gastroenterology Associates PCGroup PAC ID 0840383451, 5 clinicians

DLP Person Physician Practices LLCGroup PAC ID 8123292604, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013
• Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bakul.patel.1@18834.direct.athenahealth.com
• Direct secure messaging: bakul.patel.1@20247.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18834/brand/1/csg/1/fhir/r4

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.

• Southern Gastroenterology Associates PC

  • Specialist
  • South Boston, VA
  • NPI 1376659870
  Medicare reassignment Care Compare group NPD
• DLP Person Physician Practices, LLC

  dba Person Health Primary Care

  • Family Medicine Physician
  • Roxboro, NC
  • NPI 1548544802
  Medicare reassignment Care Compare group NPD
• DLP Person Physician Practices LLC

  dba Person Memorial Medical Group

  • Surgery Physician
  • Roxboro, NC
  • NPI 1891287520

  Gastroenterology

  NPD

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

• Halifax Regional Hospital, Inc.

  dba Sentara Halifax Regional Hospital

  • General Acute Care Hospital
  • South Boston, VA
  • NPI 1588668842
  Care Compare affiliation
• DLP Person Memorial Hospital LLC

  dba Person Memorial Hospital

  • General Acute Care Hospital
  • Roxboro, NC
  • NPI 1881977593
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1912914102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N MAIN ST STE G",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "345-728-1964",
            "fax_number": "434-572-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N MAIN ST STE G",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "434-572-8196",
            "fax_number": "434-572-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2232 Wilborn Ave",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245921662",
            "country_code": "US",
            "telephone_number": "434-572-8196",
            "fax_number": "434-572-4549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275734627",
            "country_code": "US",
            "telephone_number": "336-503-5757",
            "fax_number": "336-322-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BAKUL",
        "middle_name": "KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "101234858",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2013-00007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR M CARE",
            "identifier": "P00064711",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912914102",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010019087",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912914102",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "465809",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Palamar, PA
• Gobinda Pangeni
• Amar A Parikh, M.D.
• Charles H. Parker Jr., M. D.
• Babita B Patel
• Siddharth Shailesh Patel
• Alexander Gary Patton, PA-C
• Michael Conrad Peer, DDS
• Perfect Timing LLC
• Rebecca Catherine Perkins, LPC

• Gastroenterology Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.