Individual provider Active NPI

Mitul Ashok Patel, M.D.

  • Internal Medicine Physician
  • Littleton, CO
National Provider Identifier
1942563952
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0065614 Issued in CO
Practice address
7700 S Broadway
Littleton, CO 80122-2602
Phone
(303) 730-8900
Fax
(303) 738-7755
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34713 SC
Hospitalist Physician 208M00000X DR.0065614 CO
Internal Medicine Physician 207R00000X DR.0065614 CO Primary

Addresses

Primary practice location

7700 S Broadway
Littleton, CO 80122-2602

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

1801 Sunset Blvd
Int Med -
Columbia, SC 29203
Phone (803) 434-4197

Other practice location 2

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

Other practice location 3

Taylor At Marion
Columbia, SC 29220
Phone (803) 296-7304

Other identifiers 1

IdentifierTypeStateIssuer
347137MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20151111002353 SC Practitioner - Internal Medicine 0345550968 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

1931 Pelham Rd
Greenville, SC 29615-4002
Phone (800) 491-0909

2030 Charlie Hall Blvd
Charleston, SC 29414-5830
Phone (800) 491-0909

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0065614COMDInternal Medicine Physician
34713SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Jun 6, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 10, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 1, 2021 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 1, 2021 Accepting new patients
SC House Calls Inc CurrentSince Jun 6, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Dec 10, 2016 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1801 Sunset Dr
Columbia, SC 29203
Phone (803) 434-4153

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

7901 Farrow Rd
Columbia, SC 29203
Phone (803) 734-7846

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: mitul.patel.1@7602.direct.athenahealth.com

Organizations & group practices 11

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 7

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1942563952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 S BROADWAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222602",
            "telephone_number": "303-730-8900",
            "fax_number": "303-738-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Sunset Blvd",
            "address_2": "Int Med -",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-4197",
            "fax_number": "803-434-4160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-9680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Taylor At Marion",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29220",
            "country_code": "US",
            "telephone_number": "803-296-7304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITUL",
        "middle_name": "ASHOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "34713",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0065614",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0065614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347137",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.