Individual provider Active NPI

Simal Patel, MD

  • Emergency Medicine Physician
  • Gulfport, MS
National Provider Identifier
1780859652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22438 Issued in MS
Practice address
15200 Community Rd
Gulfport, MS 39503-3085
Phone
(228) 575-7120
Fax
(228) 575-7120
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 262465 NY
Emergency Medicine Physician 207P00000X ME122355 FL
Emergency Medicine Physician 207P00000X 22438 MS Primary

Addresses

Primary practice location

15200 Community Rd
Gulfport, MS 39503-3085

Mailing address

2130 Tetley Dr
Dallas, TX 75201-6306
Phone (512) 653-5005

Other identifiers 2

IdentifierTypeStateIssuer
04138841MedicaidMS
12276420OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MS, PA, AL, TX, LA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20110901000021 NY Practitioner - Family PracticePractitioner - Emergency Medicine 2466622329
I20130419000208 MS Practitioner - Emergency Medicine 2466622329 Reassigns benefits to 9 organizations
I20220606002911 PA Practitioner - Emergency Medicine 2466622329
I20220919001067 AL Practitioner - Family Practice 2466622329 Reassigns benefits to 1 organization
I20230403000199 TX Practitioner - Emergency MedicinePractitioner - Family Practice 2466622329 Reassigns benefits to 5 organizations
I20240405000622 LA Practitioner - Family Practice 2466622329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital Physician Group, Inc.Group PAC ID 5193156214, 23 clinicians

Practice addresses (Care Compare)

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (346) 474-6474

Hospital & facility affiliations

  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122355FLMDEmergency Medicine Physician
262465NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Initiatives Emergency Medicine CurrentSince Nov 22, 2024 Accepting new patients
Singing River Gulfport CurrentSince Apr 1, 2023 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 11, 2024 Accepting new patients
RH Emergency Medicine of Marion General LLC Emergency Medicine CurrentSince Jan 23, 2024 Accepting new patients
Singing River Gulfport CurrentSince Apr 1, 2023 Accepting new patients
Ray Hubbard Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 27, 2024 Accepting new patients
Keystone Medical Services of Ferriday, Inc. Emergency Medicine CurrentSince Mar 4, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Feb 19, 2013 Accepting new patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Keystone Medical Services of Alabama, Inc. Emergency Medicine CurrentSince Jul 13, 2022 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Ray Hubbard Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 27, 2024 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
RH Emergency Medicine of Walthall General LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Sterling Initiatives Emergency Medicine CurrentSince Nov 22, 2024 Accepting new patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Keystone Medical Services of Niagara Falls PC Emergency Medicine Past Accepting new patients
Keystone Medical Services of New York, PC Emergency Medicine Past Accepting new patients

Locations

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

233 Magnolia St
Hazlehurst, MS 39083
Phone (601) 894-4541

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780859652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 TETLEY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016306",
            "telephone_number": "512-653-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7120",
            "fax_number": "228-575-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SIMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "262465",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME122355",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "22438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04138841",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12276420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.