Active NPI
Harilal Patel, M.D.
- Internal Medicine Physician
- Lucedale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13677
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112405 | Medicaid | MS | |
| 080046318 | Other | MS | PALMETTO 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13677 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center | Internal Medicine | Current | Accepting new patients |
| Inpatient Physician Services | Current | 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
- 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.
-
- Hospitalist Physician
- Lucedale, MS
- NPI 1427363928
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.