Individual provider Active NPI

Jitesh Vinod Patel, M.D.

  • Urology Physician
  • Snellville, GA
National Provider Identifier
1265640486
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
65869 Issued in GA
Practice address
1555 Janmar Rd
Snellville, GA 30078
Phone
(678) 344-8900
Fax
(678) 666-5201
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 65869 GA Primary

Addresses

Primary practice location

1555 Janmar Rd
Snellville, GA 30078

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110926000420 GA Practitioner - Urology 3476724337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute of GeorgiaGroup PAC ID 1759552607, 57 clinicians
Advanced Urology of Ga-East, PCGroup PAC ID 1658725668, 17 clinicians

Practice addresses (Care Compare)

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

1561 Janmar Rd
Snellville, GA 30078-5639
Phone (678) 344-8900

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65869GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute of Georgia Urology Current Accepting new patients
Advanced Urology of Ga-East, PC Urology CurrentSince Jul 9, 2023 Accepting new patients
Advanced Urology Institute of Georgia Urology CurrentSince Oct 1, 2011 Accepting new patients
Advanced Urology Institute of Georgia, PC Urology CurrentSince Sep 8, 2011 Accepting new patients
Surgery Center of Lawrenceville PastSince Nov 27, 2017 Accepting new patients
Center for Special Surgery LLC Urology PastSince Jun 19, 2018 Accepting new patients
Decatur Urology Surgery Center PastSince Dec 5, 2017 Accepting new patients
Advanced Urology Surgery Center PastSince Oct 29, 2013 Accepting new patients
Advanced Urology Anesthesia, LLC PastSince Nov 23, 2013 Accepting new patients
Marietta Advanced Surgery Center PastSince Oct 31, 2018 Accepting new patients

Locations

2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654

2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622

3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162

10730 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (860) 886-1956

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1371 Church Street Ext NE
#100
Marietta, GA 30060

1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280

1100 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 255-9096

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1555 Janmar Rd
Snellville, GA 30078
Phone (404) 620-6159

1551 Janmar Rd
Snellville, GA 30078

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

Interoperability endpoints

  • Direct secure messaging: jitesh.patel@au.gadirect.net

Organizations & group practices 10

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1265640486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JITESH",
        "middle_name": "VINOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "65869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.