Organization Active NPI

Internal Medicine Associates

  • Internal Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1972604569
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1614 Issued in TX
Legal business name
INTERNAL MEDICINE ASSOCIATES
Practice address
1413 Tanglewood Dr
Wichita Falls, TX 76309
Phone
(940) 322-1411
Fax
(940) 322-4801
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Ashwin N Patel, MD
Title
Owner
Phone
(940) 322-3950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X K1613 TX
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X K1614 TX Primary

Addresses

Primary practice location

1413 Tanglewood Dr
Wichita Falls, TX 76309

Mailing address

PO Box 3848
Wichita Falls, TX 76301-0848
Phone (940) 322-1411

Other identifiers 1

IdentifierTypeStateIssuer
1714883MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050129000164 TX Part B Supplier - Clinic/Group Practice 8527018233 Receives reassigned benefits from 4 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

1817 10th St
Wichita Falls, TX 76301
Phone (940) 322-3950

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1972604569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3848",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763010848",
            "telephone_number": "940-322-1411",
            "fax_number": "940-592-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 TANGLEWOOD DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76309",
            "telephone_number": "940-322-1411",
            "fax_number": "940-322-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-322-3950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1613",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.