Individual provider Active NPI

Salil J Patel, MD

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1346236510
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44305 Issued in GA
Practice address
755 Walther Rd
Lawrenceville, GA 30045-8725
Phone
(770) 962-0399
Fax
(770) 822-5389
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 44305 GA
Cardiovascular Disease Physician 207RC0000X 44305 GA Primary

Addresses

Primary practice location

755 Walther Rd
Lawrenceville, GA 30045-8725

Mailing address

755 Walther Rd
Lawrenceville, GA 30045-8725
Phone (770) 962-0399

Other identifiers 1

IdentifierTypeStateIssuer
0009555512CMedicaidGA

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
I20050202000505 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870544323 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Clinic of North Georgia PCGroup PAC ID 9830350735, 11 clinicians

Practice addresses (Care Compare)

1475 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3806

4245 Johns Creek Pkwy
Suite D
Suwanee, GA 30024-9122
Phone (678) 430-3110

475 Philip Blvd
Suite 101
Lawrenceville, GA 30046-8737
Phone (678) 430-3110

5670 Old Winder Hwy
Suite 200
Braselton, GA 30517-1240
Phone (678) 430-3110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
85.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44305GAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside CV Professional Services LLC Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
Gwinnett Medical Group, Inc Family Medicine Current Accepting new patients
Northside Hospital, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Cardiovascular Clinic of North Georgia PC Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Northside Hospital, Inc. Current Accepting new patients
Northside Hospital, Inc. CurrentSince Jun 24, 2003 Accepting new patients
Cardiovascular Group, PC Cardiovascular Disease Past Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients

Locations

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264

1475 Jesse Jewell Pkwy NE
#300
Gainesville, GA 30501
Phone (678) 825-3685

1475 Jesse Jewell Pkwy NE
Gainesville, GA 30501

1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300

755 Walther Rd
Lawrenceville, GA 30046

475 Philip Blvd
Ste 200
Lawrenceville, GA 30046
Phone (678) 226-6201

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

475 Philip Blvd
Ste 101
Lawrenceville, GA 30046
Phone (678) 226-6212

4245 Johns Creek Pkwy
Ste D
Suwanee, GA 30024
Phone (770) 495-3820

317 Resource Pkwy
Winder, GA 30680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEHBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1346236510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-822-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-822-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SALIL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "44305",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "44305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009555512C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.