Active NPI
Arjun Nicholas Patel, MD
- Surgery Physician
- Charleston, SC
National Provider Identifier
1356922264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MMD.85916LL
- Practice address
- 169 Ashley Ave RM 202
Charleston, SC 29425-8905 - Phone
- (843) 792-3072
- NPI assigned
- Apr 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.54198 | AL | |
| Surgery Physician | 208600000X | MMD.85916LL | SC | Primary |
Addresses
Primary practice location
169 Ashley Ave RM 202
Charleston, SC 29425-8905
Mailing address
1808 7TH Ave S
Birmingham, AL 35233-1912
Phone (205) 975-3000
Other practice location 1
1808 7th Ave S
Birmingham, AL 35233-1912
Phone (205) 975-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MMD.85916LL | SC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1356922264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331912",
"telephone_number": "205-975-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE RM 202",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-3072"
}
],
"practiceLocations": [
{
"address_1": "1808 7th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331912",
"country_code": "US",
"telephone_number": "205-975-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ARJUN",
"middle_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-21",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "MD.54198",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "MMD.85916LL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.