Active NPI
Praful Patel, M.D.
- Obstetrics & Gynecology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22261
- Practice address
- 1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007 - Phone
- (334) 793-3900
- Fax
- (334) 793-5227
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22261 | AL | Primary |
Addresses
Primary practice location
1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007
Mailing address
1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007
Phone (334) 793-3900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051502545 | Medicaid | AL | |
| 051502545 | Other | AL | BCBS |
| 009961150 | Medicaid | AL | |
| 51502546 | Other | AL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of South Alabama College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3102
Phone (334) 793-3900
Hospital & facility affiliations
- Southeast Health Medical Center
- Flowers Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22261 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Medical Center, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Houston County Healthcare Authority | Past | Accepting new patients |
Locations
1118 Ross Clark Cir
Ste 60
Dothan, AL 36301
1118 Ross Clark Cir
Ste 600
Dothan, AL 36301
Phone (334) 793-3900
Interoperability endpoints
- praful.patel.1@20335.direct.athenahealth.com
- https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1568470896
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1821020074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "SUITE 600",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013007",
"telephone_number": "334-793-3900",
"fax_number": "334-793-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "SUITE 600",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013007",
"telephone_number": "334-793-3900",
"fax_number": "334-793-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRAFUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "22261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051502545",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051502545",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009961150",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51502546",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.