Organization Active NPI

Kanu J Patel, MD

  • Internal Medicine Physician
  • Greenville, AL
National Provider Identifier
1700862240
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19252 Issued in AL
Legal business name
KANU J PATEL, MD
Practice address
45 Medical Arts Court Suite 1
Greenville, AL 36037
Phone
(334) 382-5564
NPI assigned
Dec 16, 2005
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Amanda Salter
Title
Phy Practice Director
Phone
(334) 382-2681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19252 AL Primary

Addresses

Primary practice location

45 Medical Arts Court Suite 1
Greenville, AL 36037

Mailing address

45 Medical Arts Court Suite 1
Greenville, AL 36037
Phone (334) 382-5564

Other identifiers 2

IdentifierTypeStateIssuer
009982410MedicaidAL
DN1376OtherALRAILROAD MEDICARE

Other names 1

  • Regional Medical Center Clinics Other name

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
01D0998735Kanu J Patel MD PC45 Medical Arts Court Suite 1, Greenville, AL 36037Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ivy Creek of Butler LLC7 organizations share this tax ID, including this one
Part of
Ivy Creek of Butler LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44 Medical Arts Ct
Ste 4
Greenville, AL 36037
Phone (334) 371-7800

45 Medical Arts Ct
Ste 1
Greenville, AL 36037
Phone (334) 382-5564

4452 Eastgate Blvd
#6462
Cincinnati, OH 45245

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1700862240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEDICAL ARTS COURT SUITE 1",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "36037",
            "telephone_number": "334-382-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEDICAL ARTS COURT SUITE 1",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "36037",
            "telephone_number": "334-382-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANU J PATEL, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHY PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "334-382-2681"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982410",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN1376",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Medical Center Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.