Individual provider Active NPI

Mehul Shailesh Patel, MD

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1457747024
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
91702 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd Ste 910
Atlanta, GA 30342-1776
Phone
(404) 255-3822
Fax
(404) 255-0495
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 91702 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd Ste 910
Atlanta, GA 30342-1776

Mailing address

5673 Peachtree Dunwoody Rd Ste 910
Atlanta, GA 30342-1776

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
I20220827000031 GA Practitioner - Urology 3779866454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Specialists of Atlanta North, LLCGroup PAC ID 4880912310, 8 clinicians

Practice addresses (Care Compare)

5673 Peachtree Dunwoody Rd
Suite 910
Atlanta, GA 30342-1776
Phone (404) 255-3822

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of Atlanta North, LLC Urology CurrentSince Sep 6, 2022 Accepting new patients

Locations

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5673 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 255-3822

5673 Ptree Dunwoody Rd NE
Ste 910
Sandy Springs, GA 30342
Phone (404) 255-3822

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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 1

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1457747024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421776",
            "telephone_number": "404-255-3822",
            "fax_number": "404-255-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEHUL",
        "middle_name": "SHAILESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "91702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.