NPIMap

Individual provider Active NPI

Khusbu Patel, D.O.

  • Nephrology Physician
  • Birmingham, AL
National Provider Identifier
1699018861
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1553 Issued in AL
Practice address
3570 Grandview Pkwy Ste 101
Birmingham, AL 35243-2065
Phone
(205) 354-2100
Fax
(866) 343-6766
NPI assigned
Apr 5, 2013
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4652 WV
Nephrology Physician 207RN0300X 1553 AL Primary
Nephrology Physician 207RN0300X 4652 WV

Addresses

Primary practice location

3570 Grandview Pkwy Ste 101
Birmingham, AL 35243-2065

Mailing address

3570 Grandview Pkwy Ste 101
Birmingham, AL 35243-2065
Phone (855) 397-0197

Other practice location 1

289 Dawkins Dr
Lewisburg, WV 24901-9674
Phone (304) 793-0005

Other identifiers 1

IdentifierTypeStateIssuer
1699018861MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180806001835 AL Practitioner - NephrologyPractitioner - Internal Medicine 1052636784 Reassigns benefits to 3 organizations
I20260624001649 WV Practitioner - Internal MedicinePractitioner - Nephrology 1052636784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Philadelphia Col of Osteo Med, Sewanee, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southern Kidney Care PCGroup PAC ID 1850705427, 2 clinicians

Practice addresses (Care Compare)

289 Dawkins Dr
Lewisburg, WV 24901-9674
Phone (304) 793-0005

3570 Grandview Pkwy
Suite 101
Birmingham, AL 35243-2065
Phone (205) 354-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191860NCMDRegistered Nurse
4652WVMDNephrology Physician
1553ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kidney Care PC Nephrology CurrentSince Nov 30, 2020 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Mar 20, 2025 Accepting new patients
Nephrology Medical Associates of Georgia, LLC Nephrology CurrentSince Sep 4, 2018 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Mar 20, 2025 Accepting new patients
Nephrology Medical Associates of Georgia LLC Nephrology CurrentSince Sep 4, 2018 Accepting new patients

Locations

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

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

260 6th Ave NW
Jasper, AL 35504
Phone (205) 384-6919

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

1840 E Ray Rd
Chandler, AZ 85225
Phone (855) 397-0197

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1699018861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 GRANDVIEW PKWY STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432065",
            "telephone_number": "855-397-0197",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 GRANDVIEW PKWY STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432065",
            "telephone_number": "205-354-2100",
            "fax_number": "866-343-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Dawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019674",
            "country_code": "US",
            "telephone_number": "304-793-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHUSBU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "4652",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "1553",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "4652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699018861",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.