KEYUR PATEL M.D.
NPI 1861182891
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since May 12, 2023PECOS Enrolled
ACADEMIC INTERNAL MEDICINE 22250 PROVIDENCE DRIVE, 3PMB SUITE #301, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-5449 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2023, May 12, 2023 (2 updates tracked since 2023).

About Keyur Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYUR PATEL M.D. (NPI 1861182891) is an individual student in an organized health care education/training program in Southfield, Michigan, licensed in Michigan (4351050828) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861182891
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEYUR PATELCredential: M.D.
Location AddressACADEMIC INTERNAL MEDICINE 22250 PROVIDENCE DRIVE, 3PMB SUITE #301Southfield, MI 48075-4818
Mailing AddressAcademic Internal Medicine 22250 Providence Drive, 3pmb Suite #301Southfield, MI 48075-4818 · (248) 849-3281 · Fax (248) 849-5449
Fax(248) 849-5449
Sole ProprietorNo
Enumeration DateMay 12, 2023
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1861182891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351050828
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

ACADEMIC INTERNAL MEDICINE 22250 PROVIDENCE DRIVE, Southfield, MI 48075

Medicare Participation & PECOS Enrollment Status

Keyur Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861182891, enumerated as an "individual" on May 12, 2023.

The provider is located at ACADEMIC INTERNAL MEDICINE 22250 PROVIDENCE DRIVE 3PMB SUITE #301 SOUTHFIELD, MI 48075 and the phone number is (248) 849-3281.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.