Manojkumar Chandulal Patel

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

056910 Issued in GA

Practice address

106 Rowe St
Dublin, GA 31021-5238

Phone

(478) 272-0353

Fax

(478) 272-0363

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Eastman, GA, CCN 117053
• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
• Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/lKCPDiQgazoGE3paP2y6xrcZ5A3i0bDn/

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 Internal Medicine LLC

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1316121619
  Medicare reassignment NPD Authorized official
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  Medicare reassignment NPD

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

• Fairview Park, Limited Partnership

  dba Fairview Park Hospital

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• LHCG Ccxxvi, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Eastman, GA
  • NPI 1588392526
  Care Compare affiliation
• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1932134830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215238",
            "telephone_number": "478-272-0353",
            "fax_number": "478-272-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215238",
            "telephone_number": "478-272-0353",
            "fax_number": "478-272-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANOJKUMAR",
        "middle_name": "CHANDULAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056910",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD417056",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343159815B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rex Michael Parkerson, PHARMACIST
• Aesha Patel
• Hirel Patel
• Kantilal Lallubhat Patel
• Kavita Patel, PHARMD
• Pujan Patel, M.D.
• Rajesh Patel
• Smikal J Patel
• Pathways Management
• Laura Lee Roberts Patisaul, M. ED., CCC-SLP

• Internal Medicine Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.