Individual provider Active NPI

Virendra C Patel, MD

  • Specialist
  • Richardson, TX
National Provider Identifier
1992767750
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N4654 Issued in TX
Practice address
1120 W Campbell Rd
Suite 109
Richardson, TX 75080-2976
Phone
(214) 575-2663
Fax
(214) 575-2664
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0419853 KS
Specialist 174400000X N4654 TX Primary

Addresses

Primary practice location

1120 W Campbell Rd
Suite 109
Richardson, TX 75080-2976

Mailing address

4637 Shell CT
Plano, TX 75093-7144
Phone (620) 331-2725

Other identifiers 2

IdentifierTypeStateIssuer
100196990AMedicaidKS
TXB165405OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121018000476 TX Practitioner - Orthopedic Surgery 5890749667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 W Campbell Rd
Suite 109
Richardson, TX 75080-2978
Phone 21457526633404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0419853KSMDSpecialist
N4654TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopaedics & Rehabilitation, P.a. CurrentSince Nov 1, 2012 Accepting new patients
Virendra C. Patel Specialist Past Accepting new patients

Locations

1120 W Campbell Rd
Ste 109
Richardson, TX 75080
Phone (214) 575-2663

Interoperability endpoints

  • Direct secure messaging: virendra.patel.1@1414.direct.athenahealth.com
  • Direct secure messaging: virendra.patel.1@17949.direct.athenahealth.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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1992767750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 SHELL CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937144",
            "telephone_number": "620-331-2725",
            "fax_number": "214-575-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W CAMPBELL RD",
            "address_2": "SUITE 109",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802976",
            "telephone_number": "214-575-2663",
            "fax_number": "214-575-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIRENDRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "0419853",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100196990A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB165405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.