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DR. SUNDIP S PATEL D.O.
NPI 1487857025
Urology in Montgomery, AL

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
2119 E SOUTH BLVD, SUITE 200, MONTGOMERY, AL 36116(334) 613-7070(334) 613-7072 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2019, Aug 10, 2016, Mar 31, 2016 (3 updates tracked since 2016).

About Dr. Sundip S Patel D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUNDIP S PATEL D.O. (NPI 1487857025) is an individual urology provider in Montgomery, Alabama, licensed in Alabama (1524) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Michigan State University College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1487857025
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SUNDIP S PATELCredential: D.O.
Location Address2119 E SOUTH BLVD, SUITE 200Montgomery, AL 36116-2454
Mailing AddressPo Box 8427Greenville, NC 27835-8427 · (252) 847-2181
Phone(334) 613-7070
Fax(334) 613-7072
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2003
Enumeration DateJune 11, 2007
Last NPPES UpdateSeptember 26, 20193 updates tracked since enumeration
✔ NPI 1487857025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AL · 1524
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2119 E SOUTH BLVD, Montgomery, AL 36116
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Other Identifiers 3

Other511-74662AL · Bcbs Of Al
Other102I345019AL · Medicare
Medicaid181044AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sundip S Patel D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648443408
PECOS Enrollment IDI20111024000535, I20170818000958, I20191101000249
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
174 services97 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
87 services84 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
62 services62 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
47 services47 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
34 services31 patients
Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope 52214
This procedure involves the use of a special tool called an endoscope to remove or destroy abnormal tissue in the bladder or urethra. It's done to treat certain conditions and improve your health.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MANISHA GARG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116
Montgomery County (334) 613-7070
DR. CARLOS M. GADEA M.D.
Internal Medicine (Rheumatology)
2119 E SOUTH BLVD, SUITE 100
MONTGOMERY, AL 36116
Montgomery County (334) 613-7070
JAMES PATRICK ALLEN DPT
Physical Therapist
2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116
Montgomery County (334) 613-9056
WHITNEY MARIE ANGELO RN9622918
Registered Nurse
2119 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 747-7070
JASON SEAHORN DPT
Physical Therapist
2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116
Montgomery County (334) 613-9056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sundip Patel's NPI number?

The NPI number for Sundip Patel is 1487857025. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Sundip Patel located?

Sundip Patel practices at 2119 E South Blvd Suite 200, Montgomery, AL 36116. The listed phone number is (334) 613-7070.

What is Sundip Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sundip Patel enrolled in Medicare?

Yes. Sundip Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sundip Patel accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Sundip Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sundip Patel affiliated with any hospitals?

According to CMS data, Sundip Patel is affiliated with Piedmont Columbus Regional Midtown, Piedmont Columbus Regional Northside, Piedmont Newnan Hospital, Inc, Carolinas Medical Center-Northeast and Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Sundip Patel was last updated on September 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.