Organization Active NPI

Harshad Patel MD PC

Doing business as Etowah Center for Internal Medicine

  • Internal Medicine Physician
  • Rainbow City, AL
National Provider Identifier
1659416303
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20610 Issued in AL
Legal business name
HARSHAD PATEL MD PC
Doing business as
Etowah Center for Internal Medicine
Practice address
207 East Grand Ave
Rainbow City, AL 35906-6218
Phone
(256) 413-1333
Fax
(256) 413-0078
NPI assigned
Feb 20, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Harshad Patel, MDNPI 1093770018
Title
Physician
Phone
(256) 413-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20610 AL Primary

Addresses

Primary practice location

207 East Grand Ave
Rainbow City, AL 35906-6218

Mailing address

207 East Grand Ave
Rainbow City, AL 35906-6218
Phone (256) 413-1333

Other identifiers 2

IdentifierTypeStateIssuer
51032301OtherALBCBS
000032301MedicaidAL

Other names 1

  • Etowah Center for Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000033 AL Part B Supplier - Clinic/Group Practice 8224160130 Receives reassigned benefits from 3 practitioners
Practice locations: Rainbow City, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0929211Etowah Center for Internal Medicine207 East Grand Avenue, Rainbow City, AL 35906AccreditationSep 28, 2027

National Provider Directory

National Provider Directory

Locations

207 E Grand Ave
Rainbow City, AL 35906
Phone (256) 413-1333

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1659416303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 EAST GRAND AVE",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066218",
            "telephone_number": "256-413-1333",
            "fax_number": "256-413-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EAST GRAND AVE",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066218",
            "telephone_number": "256-413-1333",
            "fax_number": "256-413-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSHAD PATEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-413-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51032301",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032301",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Etowah Center for Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.