Active NPI
Kushal P Patel, M.D.
- Hospitalist Physician
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 79967
- Practice address
- 705 Dixie St
Carrollton, GA 30117-3818 - Phone
- (770) 812-9666
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79967 | GA | |
| Internal Medicine Physician | 207R00000X | D78743 | MD | |
| Hospitalist Physician | 208M00000X | 79967 | GA | Primary |
Addresses
Primary practice location
705 Dixie St
Carrollton, GA 30117-3818
Mailing address
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
Other practice location 1
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpatel407344@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180721000138 | GA | Practitioner - Hospitalist | 9830400712 | Reassigns benefits to 10 organizations |
| I20210226000245 | AL | Practitioner - Hospitalist | 9830400712 | Reassigns benefits to 1 organization |
| I20211117002283 | SC | Practitioner - Internal Medicine | 9830400712 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Atlanta Professional Services LLCOm Healthcare LLCSelect Rehabilitation, LLCHospital Physician Services - Southeast Professional CorporationChronic Disease Management of Georgia LLC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 255-7500
1083 Pkwy Blvd
Athens, GA 30606-6171
Phone (347) 458-7445
2600 Compass Rd
Glenview, IL 60026-8001
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330
704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Georgia Home Health
- Visiting Nurse Health System, Inc
- Staff Builders Home Health, an Amedisys Company
- Gentiva
- Accentcare Hospice & Palliative Care of Georgia
- Pruitthealth Hospice-Athens
- Piedmont Athens Regional Medical Center
- Northside Hospital Gwinnett
- St Mary'S Hospital
- Northeast Georgia Medical Center, Inc
- Piedmont Walton Hospital
- Rehabilitation Hospital of Athens
- Oaks - Athens Skilled Nursing, the
- University Nursing & Rehab Center
- D Scott Hudgens Center for Skilled Nursing, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Ank Healthcare, LLC | Internal Medicine | Current | Accepting new patients |
| Concur Primary Care LLC | Internal Medicine | Current | Accepting new patients |
| Chronic Disease Management of Georgia, LLC | Current | Accepting new patients | |
| Muscogee Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| North Atlanta Professional Services LLC | Hospitalist | Current | Accepting new patients |
| Georgia Mso LLC | Current | Accepting new patients | |
| Benning Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| Om Healthcare LLC | Internal Medicine | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Apogee Medical Group Georgia | Internal Medicine | Current | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Universe Cypress LLC | Past | Accepting new patients | |
| The Oaks - Athens Skilled Nursing, LLC | Past | Accepting new patients | |
| Annandale at Suwanee Inc | Past | Accepting new patients | |
| Piedmont Healthcare Encompass Health Rehabilitation Hospital of Athens | Past | Accepting new patients |
Locations
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473
1083 Parkway Blvd
Athens, GA 30606
Phone (347) 458-7445
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
11305 Bell Rd
Ste 150
Johns Creek, GA 30097
Phone (678) 787-5001
11305 Bell Rd
Ste 105
Johns Creek, GA 30097
Phone (470) 822-0101
11305 Bell Rd
Ste 106
Johns Creek, GA 30097
Phone (470) 822-0101
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595
704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076
5395 Jimmy Carter Blvd
Ste 500
Norcross, GA 30093
Phone (678) 787-5001
5395 Jimmy Carter Blvd
Ste 500A
Norcross, GA 30093
Phone (470) 822-0101
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- kpatel49459@direct.anmedhealth.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sacred Journey Hospice, LLC | Hospice | W-2 Managing Employee | Oct 14, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1912489741
W-2 Managing Employee
Organizations & group practices 20
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.
-
- Physical Medicine & Rehabilitation Physician
- Monroe, GA
- NPI 1699300939
GA
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL, Hospitalist
-
- Internal Medicine Physician
- Johns Creek, GA
- NPI 1750068565
GA, Internal Medicine
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
GA, Internal Medicine
-
- Internal Medicine Physician
- Norcross, GA
- NPI 1366293433
GA, Internal Medicine
-
- Hospitalist Physician
- Warner Robins, GA
- NPI 1962040147
GA, Hospitalist
-
- Hospitalist Physician
- Columbus, GA
- NPI 1639681851
GA, Hospitalist
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucker, GA
- NPI 1477501179
-
- Home Health Agency
- Atlanta, GA
- NPI 1962847053
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
Hospital
-
- Rehabilitation Hospital
- Athens, GA
- NPI 1730915919
Inpatient rehabilitation facility
-
- Community Based Hospice Care Agency
- Alpharetta, GA
- NPI 1790080950
Hospice
-
- Home Health Agency
- Duluth, GA
- NPI 1235182767
-
- Skilled Nursing Facility
- Athens, GA
- NPI 1932156072
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1346500477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-812-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-812-9666"
}
],
"practiceLocations": [
{
"address_1": "8954 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301342272",
"country_code": "US",
"telephone_number": "678-838-2585",
"fax_number": "678-838-2587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KUSHAL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "79967",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D78743",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "79967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpatel407344@directwellstar.org",
"affiliation": "N",
"address_1": "8954 Hospital Dr",
"city": "Douglasville",
"state": "GA",
"country_code": "US",
"postal_code": "301342272",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.