Individual provider Active NPI

Deepak Katyal, MD

  • Trauma Surgery Physician
  • Huntsville, AL
National Provider Identifier
1053386623
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
19955 Issued in AL
Practice address
201 Sivley Rd SW
Suite 400
Huntsville, AL 35801-5134
Phone
(256) 265-2895
Fax
(256) 265-9777
NPI assigned
Feb 17, 2006
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19955 AL
Surgical Critical Care Physician 2086S0102X 00019955 AL
Surgical Critical Care Physician 2086S0102X 19955 AL
Trauma Surgery Physician 2086S0127X 00019955 AL
Trauma Surgery Physician 2086S0127X 19955 AL Primary

Addresses

Primary practice location

201 Sivley Rd SW
Suite 400
Huntsville, AL 35801-5134

Mailing address

PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-2895

Other identifiers 2

IdentifierTypeStateIssuer
051031307OtherALBCBS
000031307MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000657 AL Practitioner - General SurgeryPractitioner - Other (Physician) 5890976039 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Partners, LLCGroup PAC ID 3072949569, 5 clinicians

Practice addresses (Care Compare)

4820 University Dr NW
Suite 35
Huntsville, AL 35816-1824
Phone (256) 759-9167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00019955ALMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Decatur, LLC CurrentSince Aug 1, 2020 Accepting new patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients
Synergy Medical Partners, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

201 Sivley Rd SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-2895

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

4820 University Dr NW
Ste 35
Huntsville, AL 35816
Phone (256) 721-9444

7105 Bailey Creek Cir SE
#B
Huntsville, AL 35802
Phone (256) 603-5651

7105B Bailey Creek Cir SE
Huntsville, AL 35802
Phone (256) 763-4154

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1053386623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-2895",
            "fax_number": "256-265-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-265-2895",
            "fax_number": "256-265-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATYAL",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "19955",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AL",
            "license": "00019955",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AL",
            "license": "19955",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AL",
            "license": "00019955",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AL",
            "license": "19955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051031307",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031307",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.