Individual provider Active NPI

Sundip S Patel, D.O.

  • Urology Physician
  • Montgomery, AL
National Provider Identifier
1487857025
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1524 Issued in AL
Practice address
2119 E South Blvd
Suite 200
Montgomery, AL 36116-2454
Phone
(334) 613-7070
Fax
(334) 613-7072
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 1524 AL Primary

Addresses

Primary practice location

2119 E South Blvd
Suite 200
Montgomery, AL 36116-2454

Mailing address

PO Box 8427
Greenville, NC 27835-8427
Phone (252) 847-2181

Other identifiers 3

IdentifierTypeStateIssuer
181044MedicaidAL
102I345019OtherALMEDICARE
511-74662OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, HI, SC, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20111024000535 GA Practitioner - Urology 0648443408 Reassigns benefits to 4 organizations
I20150615002264 HI Practitioner - Urology 0648443408 Reassigns benefits to 1 organization
I20170818000958 SC Practitioner - Urology 0648443408 Reassigns benefits to 3 organizations
I20191101000249 NC Practitioner - Urology 0648443408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

1538 13TH Ave
Suite a
Columbus, GA 31901-2544
Phone (706) 323-4000

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

212 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-1717

220 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-9268

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8240

275 Bethesda Dr
Greenville, NC 27834-7217
Phone (252) 752-5077

330 Hospital Dr
Suite 315
Macon, GA 31217-8042
Phone (478) 742-5331

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

441 McAlister Rd
Suite 1200
Lincolnton, NC 28092-4127
Phone (980) 212-6200

701 Medical Park Dr
Suite 110
Hartsville, SC 29550-4777
Phone (843) 656-1204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Oct 1, 2017 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 12, 2019 Accepting new patients
Kauai Medical Clinic CurrentSince May 21, 2015 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 12, 2026 Accepting new patients
Musc Community Physicians Urology CurrentSince Apr 18, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Sep 1, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Urology CurrentSince Jan 12, 2026 Accepting new patients
Musc Community Physicians CurrentSince Apr 18, 2023 Accepting new patients
Kauai Medical Clinic CurrentSince May 21, 2015 Accepting new patients
Prisma Health Medical Group-Midlands Urology CurrentSince Oct 1, 2017 Accepting new patients
Hartsville Medical Group LLC CurrentSince Aug 11, 2022 Accepting new patients
Piedmont Providers LLC CurrentSince Mar 7, 2022 Accepting new patients
Gainesville Urology, PC CurrentSince Oct 3, 2011 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1538 13th Ave
Ste A
Columbus, GA 31901
Phone (706) 323-4000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

1538 13th Ave
Ste B250
Columbus, GA 31901
Phone (706) 323-4000

1240 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-8438

330 Hospital Dr
Ste 315
Macon, GA 31217
Phone (478) 742-5331

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1946 Young St
Ste 320
Honolulu, HI 96826

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

441 McAlister Rd
Ste 1200
Lincolnton, NC 28092
Phone (980) 212-6200

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

9 Richland Medical Park Dr
#42
Columbia, SC 29203
Phone (803) 434-2833

9 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-2833

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

701 Medical Park Dr
Ste 110
Hartsville, SC 29550
Phone (843) 332-6016

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: sundip.patel@hca5.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: spatel446719@direct.musc.edu

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

View all 20

Hospital & facility affiliations 7

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1487857025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8427",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358427",
            "telephone_number": "252-847-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E SOUTH BLVD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162454",
            "telephone_number": "334-613-7070",
            "fax_number": "334-613-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNDIP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181044",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I345019",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "511-74662",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.