MUKESHKUMAR B PATEL MD
NPI 1861459703
General Practice in Montgomery, AL

Q: What is Mukeshkumar Patel's NPI number?

The NPI number for Mukeshkumar Patel is 1861459703. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Mukeshkumar Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mukeshkumar Patel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment

58.43/100

CMS Quality Rating

4212 CARMICHAEL CT N, MONTGOMERY, AL 36106(334) 213-8804(334) 213-8815 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mukeshkumar B Patel Md NPPES

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

MUKESHKUMAR B PATEL MD (NPI 1861459703) is an individual general practice provider in Montgomery, Alabama, licensed in Alabama (00021207) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1861459703

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMUKESHKUMAR B PATELCredential: MD

Location Address4212 CARMICHAEL CT NMontgomery, AL 36106-3621

Mailing Address4212 Carmichael Ct NMontgomery, AL 36106-3621 · (334) 213-8804 · Fax (334) 213-8815

Phone(334) 213-8804

Fax(334) 213-8815

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateApril 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1861459703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AL · 00021207

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4212 CARMICHAEL CT N, Montgomery, AL 36106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mukeshkumar B Patel Md 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 ID8426013301

PECOS Enrollment IDI20041120000128

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.

Medicare Billing Reassignments

Medicare enrollment records show Mukeshkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jackson Hospital And Clinic, Inc.

0.1 mi

Pediatrics

4154 CARMICHAEL RD
Montgomery, AL 36106

Reassigned Medicare billing, Alabama enrollment
248 clinicians in this Medicare group

NPI 1952949968 (334) 271-5959

Patel Associates PC

2.9 mi

Internal Medicine

1722 PINE ST, SUITE 1000
Montgomery, AL 36106

Reassigned Medicare billing, Alabama enrollment

NPI 1952350860 (334) 834-4046

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,413 services394 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

619 services93 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

267 services35 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

157 services132 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.

155 services140 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

110 services94 patients

Hospital Affiliations CMS Care Compare

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

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110129

Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County

Emergency services Birthing friendly

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.

58.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

78.89

Promoting Interoperability

Improvement Activities

Cost

38.98

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

84%44 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

48%169 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

82%158 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%426 patients4/55-star benchmark: 100%

e-Prescribing

100%2,503 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

66%253 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

79%126 patients5/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 46% · 116 patients

41%116 patients

Provide Patients Electronic Access to Their Health Information

0%262 patients1/55-star benchmark: 100%

Support Electronic Referral Loops By Sending Health Information

50%20 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers20 claims20 services$90.17 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers28 claims28 services$19.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

MARCELLE PRAETORIUS CRNP

Nurse Practitioner