Individual provider Active NPI

Asha K Patel, M.D.

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1619297686
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35163 Issued in AL
Practice address
504 N Macarthur Ave
Panama City, FL 32401-3636
Phone
(850) 769-2158
Fax
(850) 785-9220
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35163 AL
Nephrology Physician 207RN0300X ME137929 FL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35163 AL Primary

Addresses

Primary practice location

504 N Macarthur Ave
Panama City, FL 32401-3636

Mailing address

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Other identifiers 1

IdentifierTypeStateIssuer
ME137929OtherFLDEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160719000929 AL Practitioner - Nephrology 0244555043 Reassigns benefits to 4 organizations
I20190110002053 FL Practitioner - NephrologyPractitioner - Internal Medicine 0244555043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35163ALMDNephrology Physician
ME137929FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holmes County Hospital Corp CurrentSince Nov 1, 2018 Accepting new patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Holmes County Hospital Corp CurrentSince Nov 1, 2018 Accepting new patients
Southern Immediate Care, LLC CurrentSince May 31, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2016 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Nephrology Associates PA Nephrology CurrentSince Oct 15, 2018 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Southern Kidney Care PC Nephrology CurrentSince Jul 1, 2024 Accepting new patients
St. Vincent'S Birmingham Past Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

3570 Grandview Pkwy
Ste 101
Birmingham, AL 35243
Phone (205) 354-2100

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

4500 Valleydale Rd
Ste 160
Birmingham, AL 35242
Phone (205) 409-2794

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

339 Walker Chapel Plz
Ste 115
Fultondale, AL 35068
Phone (205) 250-6424

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

504 N MacArthur Ave
Panama City, FL 32401
Phone (850) 769-2158

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 4

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1619297686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-939-7000",
            "fax_number": "850-785-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-769-2158",
            "fax_number": "850-785-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "35163",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME137929",
            "primary": false
        },
        {
            "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": "AL",
            "license": "35163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "ME137929",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.