Active NPI
Rutt Patel
- Internal Medicine Physician
- Macon, GA
National Provider Identifier
1528873494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17559
- Practice address
- 777 Hemlock Street
MSC # 69
Macon, GA 31201 - Phone
- (478) 633-1721
- NPI assigned
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 17559 | GA | Primary |
Addresses
Primary practice location
777 Hemlock Street
MSC # 69
Macon, GA 31201
Mailing address
777 Hemlock Street
MSC # 69
Macon, GA 31201
Phone (786) 331-7214
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250724003972 | GA | Order and Referring Only - Internal Medicine | 6608383781 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17559 | GA | MD | Internal Medicine Physician |
Interoperability endpoints
- rpatel586431@christushealth.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1528873494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 HEMLOCK STREET",
"address_2": "MSC # 69",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "786-331-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK STREET",
"address_2": "MSC # 69",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RUTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-10",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "17559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.