Individual provider Active NPI

Dimpu Mukesh Patel, M.D.

  • Nephrology Physician
  • Gainesville, GA
National Provider Identifier
1992001523
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
75343 Issued in GA
Practice address
663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone
(678) 450-0202
NPI assigned
Jan 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 75343 GA Primary

Addresses

Primary practice location

663 Lanier Park Dr
Gainesville, GA 30501-2059

Mailing address

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802001176 GA Practitioner - Nephrology 0941446504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Mercer University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Center of Georgia LLCGroup PAC ID 9638200819, 24 clinicians

Practice addresses (Care Compare)

101 Greenfield Dr
Suite 240
Cumming, GA 30040-2727
Phone (678) 450-0202

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Hospital & facility affiliations

  • Fresenius Medical Care Habersham Dialysis facility, Demorest, GA, CCN 112800
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75343GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center of Georgia LLC Nephrology CurrentSince Sep 1, 2016 Accepting new patients

Locations (25 of 33)

6225 Atlanta Hwy
Ste 117
Alpharetta, GA 30004
Phone (770) 569-1275

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1241 Friendship Rd
Braselton, GA 30517
Phone (770) 965-6056

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

2349 Sparta Way
Buford, GA 30519
Phone (770) 964-1190

1550 Buford Hwy
Ste 1E
Buford, GA 30518
Phone (404) 645-7150

2349 Sparta Way
#100
Buford, GA 30519

101 Greenfield Dr
Ste 240
Cumming, GA 30040
Phone (470) 253-9739

3530 Rowe Ln
Cumming, GA 30041
Phone (770) 886-2489

1070 Buford Rd
Cumming, GA 30041
Phone (678) 450-3625

1165 Sanders Rd
Cumming, GA 30041
Phone (210) 379-8553

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

3015 The Commons Dr
Cumming, GA 30041
Phone (770) 205-3289

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

81 Northside Dawson Dr
Ste 315
Dawsonville, GA 30534
Phone (770) 601-9440

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

735 441 Historic Hwy N
Demorest, GA 30535

3170 Peachtree Industrial Blvd
Ste 100
Duluth, GA 30097
Phone (770) 232-5219

2565 Thompson Bridge Rd
Ste 104
Gainesville, GA 30501

1492 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (678) 989-0645

2545 Flintridge Rd
Ste 130
Gainesville, GA 30501
Phone (770) 536-7194

1856 Thompson Bridge Rd
Gainesville, GA 30501
Phone (770) 535-1948

663 Lanier Park Dr
Gainesville, GA 30501
Phone (678) 450-8841

Interoperability endpoints

  • Direct secure messaging: dpatel16888@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1296259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1992001523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIMPU",
        "middle_name": "MUKESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-29",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "75343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.