Lata Ravindra Patil, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00011233 Issued in AL

Practice address

208 Pierson Avenue
Centreville, AL 35042

Phone

(205) 926-4694

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Bibb County Healthcare AuthorityGroup PAC ID 7113822883, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bibb Medical Center Hospital, Centreville, AL, CCN 010058
• Bibb Medical Center Nursing Home Nursing home, Centreville, AL, CCN 015215

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lata.patil.1@13200.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Bibb County Healthcare Authority

  • Skilled Nursing Facility
  • Centreville, AL
  • NPI 1407885734

  Adp of the SNF

  CMS ownership

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.

• The Bibb County Healthcare Authority

  • Rural Health Clinic/Center
  • Centreville, AL
  • NPI 1972532299
  Medicare reassignment Care Compare group NPD
• The Bibb County Health Care Authority

  • Pharmacy
  • Centreville, AL
  • NPI 1568558146
  NPD
• The Bibb County Healthcare Authority

  • General Acute Care Hospital
  • Centreville, AL
  • NPI 1255376828
  NPD (past)
• The Bibb County Healthcare Authority

  • Skilled Nursing Facility
  • Centreville, AL
  • NPI 1407885734
  NPD (past)

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

• The Bibb County Healthcare Authority

  • General Acute Care Hospital
  • Centreville, AL
  • NPI 1255376828
  Care Compare affiliation
• The Bibb County Healthcare Authority

  • Skilled Nursing Facility
  • Centreville, AL
  • NPI 1407885734

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1104856905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422028",
            "telephone_number": "205-926-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "35042",
            "telephone_number": "205-926-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "LATA",
        "middle_name": "RAVINDRA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00011233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sansbury Meigs Jr., MD
• Abygayle Elizabeth Nelson, MD
• Najiullah Mostofa Noor, DO
• Jacquelyn Palmer, CNRP
• Amanda Marie Paramore, D)
• Steven Blake Patterson
• Tamiko Patterson, OTR/L
• Peak Performance Chiropractic LLC
• Kaylee Laura Perkins, PA
• Jonathan Peters, MD

• Family Medicine Physician in Centreville, AL
• Providers in Centreville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.