Individual provider Active NPI

Harilal Patel, M.D.

  • Internal Medicine Physician
  • Lucedale, MS
National Provider Identifier
1992818793
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13677 Issued in MS
Practice address
92 W. Ratliff Street
Lucedale, MS 39452-6537
Phone
(601) 947-8181
Fax
(601) 947-4411
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 13677 MS Primary

Addresses

Primary practice location

92 W. Ratliff Street
Lucedale, MS 39452-6537

Mailing address

PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 947-8181

Other identifiers 2

IdentifierTypeStateIssuer
0112405MedicaidMS
080046318OtherMSPALMETTO GBA MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100204000537 MS Practitioner - Internal Medicine 0042353658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical CenterGroup PAC ID 8921072588, 17 clinicians

Practice addresses (Care Compare)

92 Ratliff St
Suite a
Lucedale, MS 39452-6537
Phone (601) 947-4411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13677MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center Internal Medicine CurrentSince Oct 20, 1993 Accepting new patients
Inpatient Physician Services CurrentSince Oct 20, 1993 Accepting new patients

Locations

57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

92 Ratliff St
Lucedale, MS 39452
Phone (601) 947-1330

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1992818793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-947-8181",
            "fax_number": "601-947-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W. RATLIFF STREET",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526537",
            "telephone_number": "601-947-8181",
            "fax_number": "601-947-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HARILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112405",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "080046318",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.