Individual provider Active NPI

Mayank Patel, MD

  • Radiation Oncology Physician
  • Montgomery, AL
National Provider Identifier
1811524556
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
51023 Issued in AL
Practice address
473 Towne Lake PL
Montgomery, AL 36117-6013
Phone
(334) 450-3102
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME162153 FL
Radiation Oncology Physician 2085R0001X 51023 AL Primary

Addresses

Primary practice location

473 Towne Lake PL
Montgomery, AL 36117-6013

Mailing address

473 Towne Lake PL
Montgomery, AL 36117-6013
Phone (334) 450-3102

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
I20250930000306 AL Practitioner - Radiation Oncology 8527567148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Cancer Care, LLCGroup PAC ID 1456477645, 20 clinicians

Practice addresses (Care Compare)

1023 Medical Ctr Pkwy
Suite 110
Selma, AL 36701-7737
Phone (334) 375-4777

300 Saint Lukes Dr
Montgomery, AL 36117-7102
Phone (334) 273-8877

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. Radiation Oncology CurrentSince Jul 1, 2025 Accepting new patients
Southeast Physician Network, P.C. CurrentSince Jul 1, 2025 Accepting new patients
Alabama Cancer Care, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

300 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 271-4249

1023 Medical Center Pkwy
Ste 110
Selma, AL 36701
Phone (334) 375-4777

1400 Afflink Pl
Ste 101
Tuscaloosa, AL 35406
Phone (205) 366-9740

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.

Hospital & facility affiliations 2

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1811524556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 TOWNE LAKE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176013",
            "telephone_number": "334-450-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 TOWNE LAKE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176013",
            "telephone_number": "334-450-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME162153",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "51023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.