Active NPI
Sunny Patel, M.D.
- Neonatal-Perinatal Medicine Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 52110
- Practice address
- 1700 Center St
Cweb1 Room 1536
Mobile, AL 36604-3301 - Phone
- (251) 415-1087
- NPI assigned
- Apr 9, 2012
- Last updated
- Sep 20, 2018
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 52110 | SC | Primary |
Addresses
Primary practice location
1700 Center St
Cweb1 Room 1536
Mobile, AL 36604-3301
Mailing address
104 Crowned Eagle Dr
Taylors, SC 29687-4237
Phone (404) 904-3551
Other practice location 1
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (856) 782-2212 ext. 800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521108 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
555 E Cheves St
Florence, SC 29506-2617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52110 | SC | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| St Francis Hospital, Inc. | Past | Accepting new patients |
Locations
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
Interoperability endpoints
- spatel85884@direct.anmedhealth.net
Organizations & group practices 3
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.
-
dba McLeod Loris/Seacoast Physicians
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
dba McLeod Choice Pharmacy Seacoast
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1942566427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CROWNED EAGLE DR",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296874237",
"telephone_number": "404-904-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CENTER ST",
"address_2": "CWEB1 ROOM 1536",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043301",
"telephone_number": "251-415-1087"
}
],
"practiceLocations": [
{
"address_1": "125 Commonwealth Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154812",
"country_code": "US",
"telephone_number": "856-782-2212 x800",
"fax_number": "856-782-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SUNNY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "SC",
"license": "52110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "521108",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.