NPIMap

Individual provider Active NPI

Ghanshyam Patel, M.D.

  • Cardiovascular Disease Physician
  • Gadsden, AL
National Provider Identifier
1275542508
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00013446 Issued in AL
Practice address
808 South 4TH St.
Gadsden, AL 35901-5210
Phone
(256) 543-3047
Fax
(256) 543-1770
NPI assigned
Aug 5, 2006
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00013446 AL Primary

Addresses

Primary practice location

808 South 4TH St.
Gadsden, AL 35901-5210

Mailing address

808 South 4TH St
Gadsden, AL 35901-5210
Phone (256) 543-3047

Other identifiers 2

IdentifierTypeStateIssuer
51019840OtherALBCBS OF ALABAMA
528902940MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100922000338 AL Practitioner - Cardiovascular Disease (Cardiology) 5597881045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1642 -A Pehlam Rd S
Jacksonville, AL 36265-3312
Phone (256) 543-1222

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731

808 S 4TH St
Gadsden, AL 35901-5223
Phone (256) 543-3047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.74 of 100Reported as individual
Quality
89.12
Improvement activities
40
Cost
91.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13446ALMDPharmacist
00013446ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardio Vascular Associates Cardiovascular Disease CurrentSince Oct 18, 1995 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Aug 26, 2017 Accepting new patients
Riverview Reginal Medical Center, LLC Past Accepting new patients

Locations

304 S 4th St
Gadsden, AL 35901
Phone (256) 543-1066

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

808 S 4th St
Gadsden, AL 35901
Phone (205) 546-7449

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1275542508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SOUTH 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-543-3047",
            "fax_number": "256-543-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SOUTH 4TH ST.",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-543-3047",
            "fax_number": "256-543-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GHANSHYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00013446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51019840",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528902940",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.