Individual provider Active NPI

Prashant Kanu Patel, MD

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1982693974
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9800658 Issued in NC
Practice address
103 Baines CT
Ste 200
Cary, NC 27511-6646
Phone
(919) 467-6125
Fax
(919) 467-1728
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9800658 NC Primary

Addresses

Primary practice location

103 Baines CT
Ste 200
Cary, NC 27511-6646

Mailing address

103 Baines CT
Ste 200
Cary, NC 27511-6646
Phone (919) 467-6125

Other identifiers 1

IdentifierTypeStateIssuer
891174RMedicaidNC

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100825000111 NC Practitioner - Internal Medicine 6103940309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Cary Internal Medicine and the Diabetes Center PAGroup PAC ID 3274567078, 2 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

103 Baines CT
Suite 200
Cary, NC 27511-6646
Phone (919) 467-6125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800658NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dove Internal Medicine Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: prashant.patel@cimtdc.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1982693974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BAINES CT",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116646",
            "telephone_number": "919-467-6125",
            "fax_number": "919-467-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BAINES CT",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116646",
            "telephone_number": "919-467-6125",
            "fax_number": "919-467-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRASHANT",
        "middle_name": "KANU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891174R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.