Individual provider Active NPI

Atulkumar N Patel, M.D.

  • Anesthesiology Physician
  • Franklin, WI
National Provider Identifier
1114901105
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30033-020 Issued in WI
Practice address
3111 W Rawson Ave
Franklin, WI 53132-9417
Phone
(414) 761-2600
Fax
(414) 761-2620
NPI assigned
Dec 2, 2005
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 30033-020 WI Primary

Addresses

Primary practice location

3111 W Rawson Ave
Franklin, WI 53132-9417

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1053

Other practice location 1

19333 W North Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

Other identifiers 2

IdentifierTypeStateIssuer
1114901105MedicaidWI
P00078323OtherRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040322001519 WI Practitioner - Anesthesiology 6305737115 Reassigns benefits to 3 organizations
I20171009002059 CA Practitioner - Anesthesiology 6305737115 Reassigns benefits to 1 organization
I20260516000368 MI Practitioner - Anesthesiology 6305737115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Anesthesia and Pain Specialists SCGroup PAC ID 2365598406, 11 clinicians

Practice addresses (Care Compare)

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

3111 W Rawson Ave
Franklin, WI 53132-9417
Phone (414) 761-2600

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30033-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Sep 16, 2024 Accepting new patients
Great Lakes Anesthesia and Pain Specialists SC Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 8, 2017 Accepting new patients
Chad Novasic PT LTD Past Accepting new patients
Atul N. Patel, M.D., S.C. Anesthesiology PastSince Jan 1, 1990 Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

835 S Van Buren St
#13508
Green Bay, WI 54301

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: apatel838240@direct.froedtert.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1114901105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1053",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329417",
            "telephone_number": "414-761-2600",
            "fax_number": "414-761-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19333 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454132",
            "country_code": "US",
            "telephone_number": "262-785-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ATULKUMAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "30033-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114901105",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00078323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.