Jitendra C Patel (NPI# 1588668230, PAC ID# 4486618709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1588668230 |
| PAC ID by PECOS | 4486618709 |
| Professional Enrollment ID | I20041116001263 |
| Full Name | Jitendra C Patel |
| Address |
97825 Shopping Ctr Ave Brookings OR 97415 |
| Phone Number | 5414129800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050417 | SUTTER COAST HOSPITAL |
| 381322 | CURRY GENERAL HOSPITAL |
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 97825 Shopping Ctr Ave, Brookings, OR 97415 | 5414129800 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 95% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 95% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
97825 SHOPPING CTR AVE |
| City | BROOKINGS |
| State | OR |
| Zip | 97415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter S Murphy | Podiatry | 30 Winchuck Rd, Brookings, OR 97415 | |
| Charles M Bourland | Chiropractic | 524 Spruce St, Suite 5, Brookings, OR 97415-0407 | |
| Ronn Mark Johnson | Psychologist, Clinical | Costa Clinical Psychology, LLC | 625 Spruce St, Suite 7666, Brookings, OR 97415-0408 |
| Jocelyn Gates | Clinical Social Worker | 604 Spruce St, Brookings, OR 97415-0408 | |
| Teresa I Costa | Psychologist, Clinical | Costa Clinical Psychology, LLC | 625 Spruce St, Suite 7666, Brookings, OR 97415-0408 |
| Douglas J Walker | Optometry | Eye Center of Brookings LLC | 937 Chetco Ave, Suite K4005, Brookings, OR 97415-2514 |
| Kristin J Gurholt | Optometry | Eye Center of Brookings LLC | 937 Chetco Ave, Suite K4005, Brookings, OR 97415-2514 |
| Jennifer M Boyle | Nurse Practitioner | 1101 Chetco Ave, Brookings, OR 97415-2515 | |
| William E Mcdougall | Internal Medicine | Oregon Coast Wellness Inc. | 648 Chetco Ave, Brookings, OR 97415-8010 |
| Stacy R Kreger | Nurse Practitioner | Oregon Coast Wellness Inc. | 648 Chetco Ave, Brookings, OR 97415-8010 |
| Find all physicians in zip 97415 | |||
| City | BROOKINGS |
| Zip Code | 97415 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BROOKINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jitendra C Patel.
| 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.