Individual provider Active NPI

Rajeshkumar M. Patel, MD

  • Pediatrics Physician
  • Rock Hill, SC
National Provider Identifier
1932192481
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23414 Issued in SC
Practice address
724 Arden LN
Suite 100
Rock Hill, SC 29732-2984
Phone
(803) 980-7337
Fax
(803) 980-2229
NPI assigned
Aug 30, 2005
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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 23414 SC Primary

Addresses

Primary practice location

724 Arden LN
Suite 100
Rock Hill, SC 29732-2984

Mailing address

724 Arden LN
Suite 100
Rock Hill, SC 29732-2984
Phone (803) 980-7337

Other identifiers 1

IdentifierTypeStateIssuer
T76806MedicaidSC

Other names 1

  • Raj Patel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23414SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Pediatrics Pediatrics Past Accepting new patients
Sunshine Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1932192481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ARDEN LN",
            "address_2": "SUITE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322984",
            "telephone_number": "803-980-7337",
            "fax_number": "803-980-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ARDEN LN",
            "address_2": "SUITE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322984",
            "telephone_number": "803-980-7337",
            "fax_number": "803-980-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJESHKUMAR",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "23414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T76806",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJ",
            "last_name": "PATEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.