Kanu J Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19252 Issued in AL

Practice address

45 Medical Arts CT
Ste 1
Greenville, AL 36037-3871

Phone

(334) 382-5564

Fax

(334) 382-9289

NPI assigned

Dec 20, 2005

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LV Stabler Primary Care LLCGroup PAC ID 7719246586, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Butler - Ivy Creek Home Health, LLC Home health agency, Georgiana, AL, CCN 017136
• Enhabit Home Health Home health agency, Troy, AL, CCN 017324
• The Health Care Authority of the City of Greenville- LV Stabler Hospital Hospital, Greenville, AL, CCN 010150
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Crenshaw Community Hospital Hospital, Luverne, AL, CCN 011308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanu.patel@kjpat.direct.medconnect-inc.com

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.

• LV Stabler Primary Care LLC

  dba Regional Medical Center Clinics

  • Surgery Physician
  • Greenville, AL
  • NPI 1871003533
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ivy Creek-Butler Home Health LLC

  dba Butler Home Health

  • Home Health Agency
  • Georgiana, AL
  • NPI 1871156539
  Care Compare affiliation Name & address match
• Crenshaw County Health Care Authority

  dba Crenshaw Community Hospital

  • Critical Access Hospital
  • Luverne, AL
  • NPI 1750480406
  Care Compare affiliation
• Eh Health Home Health of Alabama, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Troy, AL
  • NPI 1366904161
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• The Health Care Authority of the City of Greenville - LV Stabler Hospi

  dba LV Stabler Memorial Hospital

  • General Acute Care Hospital
  • Greenville, AL
  • NPI 1780655332
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1487630505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEDICAL ARTS CT",
            "address_2": "STE 1",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373871",
            "telephone_number": "334-382-5564",
            "fax_number": "334-382-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEDICAL ARTS CT",
            "address_2": "STE 1",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373871",
            "telephone_number": "334-382-5564",
            "fax_number": "334-382-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KANU",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982410",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110234290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Odom, DC
• Aericka Oneal
• Fortunate Ehi Ovbiagele, M. D.
• Loletta Palmer
• Keldrian Pate
• Jason B Peavy, ATC
• Pediatric Rural Health Clinics, Inc (Greenville Pediatrics)
• Samara Dudley Perryman, OD
• Pine Needle of Greenville
• Poised Counseling and Consulting, LLC

• Internal Medicine Physician in Greenville, AL
• Providers in Greenville, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
• 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.

Verify at the official NPI Registry.