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: August 09, 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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keyur Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keyur Patel's NPI number?

The NPI number for Keyur Patel is 1861182891. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Keyur Patel located?

Keyur Patel practices at Academic Internal Medicine 22250 Providence Drive 3pmb Suite #301, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Keyur Patel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keyur Patel enrolled in Medicare?

Yes. Keyur Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keyur Patel was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.