Active NPI
Masum Patel
- Physician Assistant
- Trussville, AL
National Provider Identifier
1710882709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4771 Kendall Cir
Trussville, AL 35173-2476 - Phone
- (205) 614-1138
- NPI assigned
- Oct 10, 2026
- Last updated
- Oct 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
4771 Kendall Cir
Trussville, AL 35173-2476
Mailing address
4771 Kendall Cir
Trussville, AL 35173-2476
Phone (205) 614-1138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791590400000",
"number": "1710882709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4771 KENDALL CIR",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351732476",
"telephone_number": "205-614-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 KENDALL CIR",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351732476",
"telephone_number": "205-614-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MASUM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-10",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.