Active NPI
Deepak Katyal, MD
- Trauma Surgery Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 19955
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051031307 | Other | AL | BCBS |
| 000031307 | Medicaid | AL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00019955 | AL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Decatur, LLC | Current | Accepting new patients | |
| HH Physicians Network | Current | Accepting new patients | |
| Synergy Medical Partners, LLC | Current | 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.
-
dba Synergy Wellness
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- Huntsville, AL
- NPI 1912467309
-
- Critical Care Medicine (Internal Medicine) Physician
- Tuscaloosa, AL
- NPI 1386695500
-
- Specialist
- Huntsville, AL
- NPI 1891359683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.