Individual provider Active NPI

Mitul Natu Patel, M.D.

  • Nephrology Physician
  • Huntsville, AL
National Provider Identifier
1215233192
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD43845 Issued in AL
Practice address
1490 Highway 72 E
Huntsville, AL 35811-1508
Phone
(318) 541-0063
NPI assigned
Feb 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125054864 IL
Nephrology Physician 207RN0300X 56341 MT
Nephrology Physician 207RN0300X 312321 LA
Nephrology Physician 207RN0300X MD43845 AL Primary

Addresses

Primary practice location

1490 Highway 72 E
Huntsville, AL 35811-1508

Mailing address

200 Portrait St
Meridianville, AL 35759-2704
Phone (318) 541-0063

Other identifiers 1

IdentifierTypeStateIssuer
2500244MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitul.patel.1@14360.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220318001022 AL Practitioner - Internal MedicinePractitioner - Nephrology 3678748928 Reassigns benefits to 1 organization
Practice locations: Huntsville, AL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehab Office IncGroup PAC ID 1951741412, 2 clinicians

Practice addresses (Care Compare)

1490 Hwy 72 E
Huntsville, AL 35811-1508
Phone (318) 541-0063

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Encompass Health Rehabilitation Hospital North Al Inpatient rehabilitation facility, Huntsville, AL, CCN 013029

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
90
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125054864ILMDInternal Medicine Physician
MD43845ALMDNephrology Physician
56341MTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehab Office Inc Nephrology CurrentSince Feb 24, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1490 Highway 72 E
Huntsville, AL 35811
Phone (256) 428-2615

Organizations & group practices 2

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 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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1215233192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTRAIT ST",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592704",
            "telephone_number": "318-541-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 HIGHWAY 72 E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111508",
            "telephone_number": "318-541-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITUL",
        "middle_name": "NATU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054864",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "56341",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "312321",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD43845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500244",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitul.patel.1@14360.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "201 4th St Ste 5A",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713018421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.