Organization Active NPI

Dhiraj a Patel MD

Doing business as Alpha Medical Clinic

  • Internal Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1659556157
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DHIRAJ A PATEL MD
Doing business as
Alpha Medical Clinic
Practice address
401 S Main St
Suite a-4
Alpharetta, GA 30009-1974
Phone
(770) 772-4044
Fax
(770) 772-4227
NPI assigned
Jan 2, 2008
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Dhiraj A Patel, M.DNPI 1891863148
Title
Owner
Phone
(770) 772-4044

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 NU Primary

Addresses

Primary practice location

401 S Main St
Suite a-4
Alpharetta, GA 30009-1974

Mailing address

401 S Main St
Suite a-4
Alpharetta, GA 30009-1974
Phone (770) 772-4044

Other identifiers 1

IdentifierTypeStateIssuer
GRP4579OtherMEDICARE GROUP NO

Other names 1

  • ALPHA MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000815 GA Part B Supplier - Clinic/Group Practice 3274528914 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA

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
11D0943943Alpha Medical Clinic401 South Main St Suite a-4, Alpharetta, GA 30009Provider-performed microscopyApr 6, 2028

National Provider Directory

National Provider Directory

Locations

401 S Main St
Ste A4
Alpharetta, GA 30009
Phone (770) 475-2004

Practitioners & affiliated clinicians

Practitioners 2

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1659556157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE A-4",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091974",
            "telephone_number": "770-772-4044",
            "fax_number": "770-772-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE A-4",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091974",
            "telephone_number": "770-772-4044",
            "fax_number": "770-772-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHIRAJ A PATEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHIRAJ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-772-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NO",
            "identifier": "GRP4579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.