NPIMap

Individual provider Active NPI

Sujal G Patel, MD

  • Surgery Physician
  • Saginaw, MI
National Provider Identifier
1144213539
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
SP069814 Issued in MI
Practice address
5415 Cardinal Square Blvd
Saginaw, MI 48604-8200
Phone
(989) 583-5680
Fax
(989) 790-7335
NPI assigned
Aug 31, 2005
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X SP069814 MI Primary

Addresses

Primary practice location

5415 Cardinal Square Blvd
Saginaw, MI 48604-8200

Mailing address

5415 Cardinal Square Blvd
Saginaw, MI 48604-8200
Phone (989) 583-5680

Other practice location 1

170 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 583-5679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spatel1246@direct.covenanthealthcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060619000128 MI Practitioner - General Surgery 5496766529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

5415 Cardinal Square Blvd
Saginaw, MI 48604-8200
Phone (989) 790-4855

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Upper gastrointestinal (GI) endoscopy for acid reflux13
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP069814MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 10, 2018 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5415 Cardinal Square Blvd
Saginaw, MI 48604
Phone (989) 583-5679

Organizations & group practices 6

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1144213539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 CARDINAL SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048200",
            "telephone_number": "989-583-5680",
            "fax_number": "989-790-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 CARDINAL SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048200",
            "telephone_number": "989-583-5680",
            "fax_number": "989-790-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 N Caseville Rd",
            "address_purpose": "LOCATION",
            "city": "Pigeon",
            "state": "MI",
            "postal_code": "487559704",
            "country_code": "US",
            "telephone_number": "989-583-5679",
            "fax_number": "989-790-7335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUJAL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "SP069814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel1246@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "5415 Fashion Square Blvd",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486048200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.