Individual provider Active NPI

Raj Patel

  • MOHS-Micrographic Surgery Physician
  • Alabaster, AL
National Provider Identifier
1720379712
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD.32152 Issued in AL
Practice address
615 1St St N
Suite317
Alabaster, AL 35007-8892
Phone
(205) 592-5135
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD.32152 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

615 1St St N
Suite317
Alabaster, AL 35007-8892

Mailing address

139 Castlehill Dr
Vestavia, AL 35226-2967
Phone (205) 718-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001610 AL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9830335611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Alabama PCGroup PAC ID 9436211463, 42 clinicians

Practice addresses (Care Compare)

1205 County Rd
1466 Suite 110
Cullman, AL 35058-0795
Phone (205) 977-9876

1320 Woodfin LN
Clanton, AL 35045-8732
Phone (205) 977-9876

1940 Stonegate Dr
Vestavia HLS, AL 35242-2541

4933 Promenade Pkwy
Suite 105
Bessemer, AL 35022-7317
Phone (205) 624-2100

615 1St St N
Alabaster, AL 35007-8892
Phone (205) 977-9876

Merit-based Incentive Payment System (MIPS)

Final score
15.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
50.92

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision357
Removal of skin lesions318
Removal of skin cancer2579
Removal or shaving of skin growth15
Skin biopsy43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True Dermatology, LLC Mohs-Micrographic Surgery CurrentSince Apr 27, 2016 Accepting new patients
Aqua Dermatology of Alabama PC Mohs-Micrographic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

615 1st St N
Alabaster, AL 35007
Phone (205) 624-2100

615 1st St N
Ste 317
Alabaster, AL 35007
Phone (205) 592-5135

4933 Promenade Pkwy
Ste 105
Bessemer, AL 35022
Phone (205) 624-2100

1320 Woodfin Ln
Clanton, AL 35045
Phone (205) 755-3500

1205 County Road 1466
Cullman, AL 35058
Phone (205) 739-9711

450 Century Park S
Ste 200
Hoover, AL 35226
Phone (205) 624-2100

41 Eminence Way
Pell City, AL 35128
Phone (205) 884-9000

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481

Interoperability endpoints

  • Direct secure messaging: rpatel@aldermatology.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1720379712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CASTLEHILL DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352262967",
            "telephone_number": "205-718-9300",
            "fax_number": "205-280-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST ST N",
            "address_2": "SUITE317",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078892",
            "telephone_number": "205-592-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "MD.32152",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.