NPIMap

Individual provider Active NPI

Mukeshkumar B Patel, MD

  • General Practice Physician
  • Montgomery, AL
National Provider Identifier
1861459703
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00021207 Issued in AL
Practice address
4212 Carmichael CT N
Montgomery, AL 36106-3621
Phone
(334) 213-8804
Fax
(334) 213-8815
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 00021207 AL Primary

Addresses

Primary practice location

4212 Carmichael CT N
Montgomery, AL 36106-3621

Mailing address

4212 Carmichael CT N
Montgomery, AL 36106-3621
Phone (334) 213-8804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000128 AL Practitioner - Internal Medicine 8426013301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1722 Pine St
Montgomery, AL 36106-1109

1722 Pine St
Montgomery, AL 36106-1160

1722 Pine St
Montgomery, AL 36106-1162
Phone (334) 834-4046

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 240-0535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.58 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
84.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021207ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic Inc. CurrentSince Aug 1, 2015 Accepting new patients
Patel Associates PC CurrentSince Nov 13, 2001 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Southeast Cancer Network, Inc. Past Accepting new patients
Jackson Hospital and Clinic, Inc Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1722 Pine St
Ste 1000
Montgomery, AL 36106
Phone (334) 264-9739

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204

2257 Taylor Rd
Ste 200
Montgomery, AL 36117
Phone (334) 270-9914

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aveanna Hospice of MontgomeryMontgomery, AL, CCN 011673 Hospice W-2 Managing Employee Jun 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861459703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8804",
            "fax_number": "334-213-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8804",
            "fax_number": "334-213-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESHKUMAR",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00021207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.