Individual provider Active NPI

Manoj K Patel, M.D.

  • Nephrology Physician
  • Columbus, GA
National Provider Identifier
1104817808
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
48811 Issued in GA
Practice address
2424A Warm Springs Rd
Columbus, GA 31904-5638
Phone
(706) 327-6296
Fax
(706) 571-0036
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 48811 GA Primary
Nephrology Physician 207RN0300X 23383 AL

Addresses

Primary practice location

2424A Warm Springs Rd
Columbus, GA 31904-5638

Mailing address

2424A Warm Springs Rd
Columbus, GA 31904-5638
Phone (706) 327-6296

Other identifiers 9

IdentifierTypeStateIssuer
00871582CMedicaidGA
00871582FMedicaidGA
060010676OtherALBC/BS
000055505MedicaidAL
00871582BMedicaidGA
52669915OtherUNITED HEALTHCARE
699150OtherGABC/BS
00871582GMedicaidGA
390006997OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080512000444 AL Practitioner - NephrologyPractitioner - Internal Medicine 6406935758 Reassigns benefits to 1 organization
I20111102000624 GA Practitioner - NephrologyPractitioner - Internal Medicine 6406935758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Columbus, P.C.Group PAC ID 0244221968, 4 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 327-6296

1611 21St CT
Suite a
Phenix City, AL 36867-3734
Phone (706) 327-6296

2424 Warm Springs Rd
Suite a
Columbus, GA 31904-6863
Phone (706) 327-6296

Hospital & facility affiliations

  • Dci North Columbus Dialysis facility, Columbus, GA, CCN 112600
  • DCI East Columbus Dialysis facility, Columbus, GA, CCN 852528
  • Dci Boxwood Place Dialysis facility, Columbus, GA, CCN 112775
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
  • Medical Center Barbour Hospital, Eufaula, AL, CCN 011307
  • Rehabilitation Hospital of Columbus Inpatient rehabilitation facility, Columbus, GA, CCN 113036

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as individual
Quality
100
Promoting interoperability
0
Improvement activities
40
Cost
80.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23383ALMDNephrology Physician
48811GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Columbus, P.C. Nephrology CurrentSince Jul 1, 2000 Accepting new patients
Columbus Vascular Center, LLC CurrentSince Jan 10, 2021 Accepting new patients
Guardian Medical Services, LLC Past Accepting new patients

Locations

1611 21st Ct
#A
Phenix City, AL 36867
Phone (334) 448-0499

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

2424 Warm Springs Rd
Ste A
Columbus, GA 31904
Phone (706) 327-6296

4519 Woodruff Rd
Ste 17
Columbus, GA 31904
Phone (404) 918-2349

Interoperability endpoints

  • Direct secure messaging: manojpatel_6202@nac.omnimddirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1104817808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424A WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045638",
            "telephone_number": "706-327-6296",
            "fax_number": "706-571-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424A WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045638",
            "telephone_number": "706-327-6296",
            "fax_number": "706-571-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANOJ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "48811",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "23383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871582C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871582F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "060010676",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000055505",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871582B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "52669915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "699150",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871582G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390006997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.