Active NPI
Rutvi Patel
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 77755
- Practice address
- 235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401 - Phone
- (770) 994-9326
- NPI assigned
- Mar 29, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 77755 | GA | Primary |
Addresses
Primary practice location
235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401
Mailing address
235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401
Phone (770) 994-9326
Other practice location 1
655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-4106
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone (770) 603-3685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77755 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| Emerginet, LLC | Current | Accepting new patients | |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Emerginet Henry, LLC | Current | Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients |
Locations
235 Peachtree St NE
Ste 2100
Atlanta, GA 30303
Phone (770) 994-4747
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649
1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1811946627
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1164480869
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1922426741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PEACHTREE ST NE",
"address_2": "NORTH TOWER, SUITE 2100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031401",
"telephone_number": "770-994-9326",
"fax_number": "404-809-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PEACHTREE ST NE",
"address_2": "NORTH TOWER, SUITE 2100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031401",
"telephone_number": "770-994-9326"
}
],
"practiceLocations": [
{
"address_1": "655 W 8th St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096511",
"country_code": "US",
"telephone_number": "904-244-4106",
"fax_number": "904-244-5848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "RUTVI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "77755",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2400 Mount Zion Pkwy",
"city": "Jonesboro",
"state": "GA",
"country_code": "US",
"postal_code": "302362500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.