Viraj S Patel


Address: 1904 Lake Ave, Plymouth, IN 46563-7828

Viraj S Patel (NPI# 1093938979, PAC ID# 8123110376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1093938979
PAC ID by PECOS 8123110376
Professional Enrollment ID I20070817000537
Full Name Viraj S Patel
Address 1904 Lake Ave
Plymouth
IN 46563-7828
Gender M
Graduation Year 2002
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150076 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH
150058 MEMORIAL HOSPITAL OF SOUTH BEND

Other Locations

Address Phone Organization
1904 Lake Ave, Plymouth, IN 46563-7828

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1904 LAKE AVE
City PLYMOUTH
State IN
Zip 46563-7828

Physicians in the same zip code

Name Specialty Organization Address
Rosalie M Regedanz Physical Therapy 440 W Jefferson St, Plymouth, IN 46563-1646
Amber D Trump Physical Therapy Robert J Amico Pt Inc 576 N Oak Dr, Plymouth, IN 46563-1664
Nanette M Fredericks Clinical Social Worker 322 W Jefferson St, Plymouth, IN 46563-1734
Mary E Schwartz Podiatry 116 E Washington St, Plymouth, IN 46563-1744
Jillorna Ann Uceny Clinical Social Worker 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753
Rebecca Brice Pediatric Medicine Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Tiffany T Richards Nurse Practitioner Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Jill M Geer Nurse Practitioner Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Dawn Lee Heckathorn Nurse Practitioner Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Margaret T Snyder Psychologist, Clinical 505 Colonial Ct, Plymouth, IN 46563-1860
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Competitor

Search similar physicians

City PLYMOUTH
Zip Code 46563
Specialty FAMILY MEDICINE
City + Specialty PLYMOUTH + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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