Individual provider Active NPI

Alpa B. Patel, DPM

  • Podiatrist
  • Rome, GA
National Provider Identifier
1851378186
Registry record updated Sep 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001000 Issued in GA
Practice address
101 John Maddox Dr NW Ste a
Rome, GA 30165-1419
Phone
(706) 232-6739
Fax
(706) 232-6750
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003019P OH
Podiatrist 213E00000X POD001000 GA Primary

Addresses

Primary practice location

101 John Maddox Dr NW Ste a
Rome, GA 30165-1419

Mailing address

921 Checkered Way NW
Kennesaw, GA 30152
Phone (770) 596-2376

Other identifiers 1

IdentifierTypeStateIssuer
2019685MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003019POHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot, Ankle & Leg Center of Rome LLC CurrentSince Aug 22, 2017 Accepting new patients
Diabetic Foot and Ankle Clinic of Georgia, Inc Podiatrist PastSince Aug 22, 2017 Accepting new patients

Locations

101 John Maddox Dr NW
Ste A
Rome, GA 30165
Phone (706) 232-6739

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504915200000",
    "number": "1851378186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHECKERED WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-596-2376",
            "fax_number": "706-232-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOHN MADDOX DR NW STE A",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-232-6739",
            "fax_number": "706-232-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ALPA",
        "middle_name": "B.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003019P",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.