Individual provider Active NPI

Jaimin Hiteshkumar Patel, D.O

  • Allergy Physician
  • Henrico, VA
National Provider Identifier
1992239701
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0102206139 Issued in VA
Practice address
9920 Independence Park Dr Ste 100
Henrico, VA 23233-1487
Phone
(804) 285-7420
Fax
(804) 285-7454
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT017583 PA
Allergy Physician 207KA0200X 0102206139 VA Primary

Addresses

Primary practice location

9920 Independence Park Dr Ste 100
Henrico, VA 23233-1487

Mailing address

9920 Independence Park Dr Ste 100
Henrico, VA 23233-1487
Phone (804) 285-7420

Other practice location 1

2955 Ivy Rd Fl 3
Charlottesville, VA 22903-9353
Phone (434) 924-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220805000587 VA Practitioner - Allergy/Immunology 0446527386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Allergy and Asthma Specialists,PCGroup PAC ID 0143307207, 6 clinicians

Practice addresses (Care Compare)

9920 Independence Park Dr
Suite 100
Henrico, VA 23233-1487
Phone (804) 285-7420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT017583PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Allergy and Asthma Specialists,PC Allergy CurrentSince Aug 1, 2022 Accepting new patients
Inova Health Care Services Internal Medicine PastSince Mar 6, 2022 Accepting new patients

Locations

9920 Independence Park Dr
Ste 100
Richmond, VA 23233
Phone (804) 285-7420

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1992239701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 INDEPENDENCE PARK DR STE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331487",
            "telephone_number": "804-285-7420",
            "fax_number": "804-285-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 INDEPENDENCE PARK DR STE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331487",
            "telephone_number": "804-285-7420",
            "fax_number": "804-285-7454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Ivy Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229039353",
            "country_code": "US",
            "telephone_number": "434-924-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAIMIN",
        "middle_name": "HITESHKUMAR",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017583",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0102206139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.