Organization Active NPI

Kamlesh P. Patel M.D., PA

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1942483706
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9601029 Issued in NC
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

Updated by the provider on May 2, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 9601029 NC Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5950521MedicaidNC
65846OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.