Individual provider Active NPI

Urmil Suresh Patel, M.D.

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1336119015
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20642 Issued in AL
Practice address
1725 Pine St
Montgomery, AL 36106-1109
Phone
(334) 293-8000
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20642 AL
Emergency Medicine Physician 207P00000X 20642 AL Primary

Addresses

Primary practice location

1725 Pine St
Montgomery, AL 36106-1109

Mailing address

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 293-8000

Other identifiers 2

IdentifierTypeStateIssuer
000002740MedicaidAL
02740OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080422000090 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 1759469448 Reassigns benefits to 4 organizations
I20150406002277 OR Practitioner - Emergency Medicine 1759469448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 284-1500

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20642ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Creek of Elmore, LLC CurrentSince Aug 3, 2010 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Feb 7, 2023 Accepting new patients
Wetumpka Hospitalists, P.C. Hospitalist CurrentSince Sep 1, 2007 Accepting new patients
Jackson Hospital and Clinic, Inc. Emergency Medicine CurrentSince Feb 7, 2023 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Santiam Memorial Hospital CurrentSince Feb 1, 2015 Accepting new patients
Ivycreek of Elmore LLC CurrentSince Aug 3, 2010 Accepting new patients
Nes Tennessee Inc Emergency Medicine Current Accepting new patients
Santiam Memorial Hospital CurrentSince Feb 1, 2015 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

74186 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 478-3570

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: upatel180515@secure.stcharleshealthcare.org

Organizations & group practices 11

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1336119015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061109",
            "telephone_number": "334-293-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061109",
            "telephone_number": "334-293-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "URMIL",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "20642",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "20642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002740",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02740",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.