Active NPI
Kamlesh P. Patel M.D., PA
- Internal Medicine Physician
- Fayetteville, NC
National Provider Identifier
1942483706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9601029
- Legal business name
- KAMLESH P. PATEL M.D., PA
- Practice address
- 1301 Medical Dr Ste B
Fayetteville, NC 28304-4425 - Phone
- (910) 486-8080
- Fax
- (910) 486-8090
- NPI assigned
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hemangini K Patel, M.D.
- Title
- Physician
- Phone
- (910) 486-8080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9601029 | NC | Primary |
| Neurology Physician | 2084N0400X | 9601028 | NC |
Addresses
Primary practice location
1301 Medical Dr Ste B
Fayetteville, NC 28304-4425
Mailing address
PO Box 87511
Fayetteville, NC 28304-7511
Phone (910) 486-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950521 | Medicaid | NC | |
| 65846 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
1301 Medical Dr
#B
Fayetteville, NC 28304
Phone (910) 486-8080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1942483706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87511",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283047511",
"telephone_number": "910-486-8080",
"fax_number": "910-486-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MEDICAL DR STE B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044425",
"telephone_number": "910-486-8080",
"fax_number": "910-486-8090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMLESH P. PATEL M.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HEMANGINI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "910-486-8080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "9601029",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "9601028",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950521",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65846",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.