Active NPI 1891836920 Individual Practitioner Male Practitioner

Dr. Mitul Kanti Patel , MD

Orthopaedic Surgery • Hermitage, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mitul Patel, MD is a certified Orthopaedic Surgery practicing in Hermitage, TN. With approximately 28 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1998, Dr. Patel delivers high-quality medical care to the local community at 5651 FRIST BLVD STE 200.

Dr. Patel is affiliated with Advanced Diagnostic Imaging Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5651 Frist Blvd Ste 200

Hermitage, TN 370762056

Telephone 6158850200

Fax 6158850267

Associated Practice Facility / Clinic

🏢 Southern Spine Center Plc Facility NPI 1982745014

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hermitage, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Hermitage, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (28 Years) 28 Yrs

Hermitage Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	488	68	$8.04	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	318	192	$212.37	$83.04
72100 X-ray of lower and sacral spine, 2-3 views	119	83	$157.40	$35.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$304.65	$99.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$309.27	$117.66
J1885 Injection, ketorolac tromethamine, per 15 mg	39	15	$3.65	$0.73
72040 X-ray of upper spine, 2-3 views	35	24	$158.31	$35.39
20610 Aspiration and/or injection of fluid from large joint	29	23	$272.61	$59.63
73502 X-ray of hip, 2-3 views	23	16	$187.43	$42.34
20552 Injections of trigger points in 1 or 2 muscles	22	17	$237.02	$47.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$4423.59	$515.05
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$3106.64	$568.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	14	$99.09	$13.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$397.65	$119.93
73030 X-ray of shoulder, minimum of 2 views	17	15	$137.25	$31.17
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	17	13	$27605.97	$4940.58
20551 Injection into tendon at attachment to bone or muscle	17	15	$239.94	$52.19
22612 Fusion of spine in lower back	16	16	$6195.07	$1005.04
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	14	$1082.12	$212.16
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$5209.61	$1100.37
72170 X-ray of pelvis, 1-2 views	12	11	$118.13	$24.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	528	58	$8.04	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	294	169	$212.37	$82.52
72100 X-ray of lower and sacral spine, 2-3 views	131	97	$157.48	$36.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$304.65	$100.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$309.27	$117.64
J1885 Injection, ketorolac tromethamine, per 15 mg	32	16	$3.65	$0.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	31	31	$4365.15	$516.59
72040 X-ray of upper spine, 2-3 views	30	25	$158.31	$36.06
22612 Fusion of spine in lower back	24	24	$5977.70	$921.14
20552 Injections of trigger points in 1 or 2 muscles	21	13	$237.02	$48.47
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$233.89	$43.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$467.52	$153.82
22614 Fusion of additional segment of spine	18	14	$1462.09	$231.98
20610 Aspiration and/or injection of fluid from large joint	18	13	$307.44	$63.78
73030 X-ray of shoulder, minimum of 2 views	17	12	$137.25	$31.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	16	$99.09	$12.21
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$2956.67	$444.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$397.65	$121.33
20551 Injection into tendon at attachment to bone or muscle	15	11	$239.94	$53.00
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2858.06	$455.43
63048 Partial removal of spine bone with release of spinal cord and/or nerves	13	12	$811.50	$113.64
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	11	11	$27605.97	$5191.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	214	$206.52	$83.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	293	46	$8.18	$1.15
72100 X-ray of lower and sacral spine, 2-3 views	139	112	$172.18	$36.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$302.92	$103.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	61	$304.63	$119.58
20610 Aspiration and/or injection of fluid from large joint	42	23	$417.92	$67.46
72040 X-ray of upper spine, 2-3 views	35	22	$166.63	$36.63
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	32	$4178.89	$514.59
J1885 Injection, ketorolac tromethamine, per 15 mg	26	11	$2.47	$0.59
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	23	22	$29907.77	$5479.39
22614 Fusion of additional segment of spine	22	12	$1398.03	$175.85
22612 Fusion of spine in lower back	21	21	$5837.96	$779.71
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	14	$781.04	$112.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$393.01	$126.34
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	20	15	$30050.63	$5493.38
72080 X-ray of middle and lower spine, 2 views	17	13	$156.13	$32.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$465.74	$155.52
72070 X-ray of middle spine, 2 views	15	12	$140.65	$30.31
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$2846.48	$353.63
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2838.21	$443.08
73560 X-ray of knee, 1-2 views	12	11	$153.65	$31.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$99.09	$13.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	377	54	$8.20	$1.22
99213 Established patient office or other outpatient visit, typically 15 minutes	322	190	$205.01	$85.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$302.76	$105.40
72100 X-ray of lower and sacral spine, 2-3 views	112	95	$173.28	$36.37
20610 Aspiration and/or injection of fluid from large joint	44	33	$348.45	$61.04
J1885 Injection, ketorolac tromethamine, per 15 mg	35	12	$2.12	$0.49
73560 X-ray of knee, 1-2 views	25	17	$135.81	$31.45
72040 X-ray of upper spine, 2-3 views	24	22	$167.13	$36.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$392.49	$124.17
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$2763.84	$284.94
73030 X-ray of shoulder, minimum of 2 views	19	14	$132.12	$31.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$4009.04	$437.80
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	13	$980.61	$130.56
72080 X-ray of middle and lower spine, 2 views	15	15	$157.01	$31.95
22612 Fusion of spine in lower back	14	14	$5589.54	$547.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	12	$99.09	$13.26
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	12	$30017.97	$6066.56
20552 Injections of trigger points in 1 or 2 muscles	12	11	$224.01	$48.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	355	228	$205.39	$69.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	328	57	$8.20	$1.45
72100 X-ray of lower and sacral spine, 2-3 views	115	83	$174.38	$35.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$302.76	$101.21
20610 Aspiration and/or injection of fluid from large joint	45	32	$384.20	$63.05
72040 X-ray of upper spine, 2-3 views	33	26	$167.13	$34.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$392.49	$132.08
73030 X-ray of shoulder, minimum of 2 views	22	14	$132.12	$30.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$4198.75	$494.17
73502 X-ray of hip, 2-3 views	19	13	$170.37	$41.54
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	17	15	$30017.97	$6072.90
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	12	$1064.48	$199.93
72170 X-ray of pelvis, 1-2 views	16	14	$116.15	$26.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$303.72	$99.44
73560 X-ray of knee, 1-2 views	14	14	$149.25	$30.64
22614 Fusion of additional segment of spine	14	11	$1370.24	$146.23
20552 Injections of trigger points in 1 or 2 muscles	13	13	$224.01	$52.41
22612 Fusion of spine in lower back	12	12	$5923.36	$742.55
73565 X-ray of both knees while standing	12	12	$145.04	$35.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	228	$205.07	$68.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	300	48	$8.20	$1.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$302.76	$100.21
72100 X-ray of lower and sacral spine, 2-3 views	122	87	$173.37	$33.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	36	$392.49	$128.02
20610 Aspiration and/or injection of fluid from large joint	34	25	$326.21	$51.76
72040 X-ray of upper spine, 2-3 views	30	25	$167.13	$33.46
J1885 Injection, ketorolac tromethamine, per 15 mg	24	11	$2.12	$0.45
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	22	$4186.61	$391.27
22614 Fusion of additional segment of spine	23	13	$1471.66	$216.52
22612 Fusion of spine in lower back	19	18	$6006.30	$819.50
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$2958.56	$391.05
73030 X-ray of shoulder, minimum of 2 views	17	13	$132.12	$27.55
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	11	$819.34	$144.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$121.32	$41.78
73560 X-ray of knee, 1-2 views	15	12	$130.59	$29.42
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	13	$2864.01	$410.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	13	12	$1033.47	$161.97
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$5149.50	$1075.49
72080 X-ray of middle and lower spine, 2 views	13	12	$148.83	$30.86
72170 X-ray of pelvis, 1-2 views	12	11	$116.15	$30.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$99.09	$15.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	421	59	$8.20	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	361	226	$205.23	$66.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$302.22	$95.71
72100 X-ray of lower and sacral spine, 2-3 views	95	72	$173.08	$30.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$392.49	$125.87
20610 Aspiration and/or injection of fluid from large joint	53	34	$326.21	$50.77
72040 X-ray of upper spine, 2-3 views	43	27	$167.13	$29.60
73100 X-ray of wrist, 2 views	26	14	$131.94	$27.88
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$4312.85	$497.52
22612 Fusion of spine in lower back	18	18	$6086.39	$889.62
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	18	15	$2302.43	$473.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	15	$99.09	$18.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$121.32	$39.54
72170 X-ray of pelvis, 1-2 views	15	12	$116.15	$26.94
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	14	$2924.53	$338.14
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	13	$2145.42	$440.40
73030 X-ray of shoulder, minimum of 2 views	12	11	$132.12	$26.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	382	232	$205.56	$67.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	264	39	$8.20	$1.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$302.76	$97.76
72100 X-ray of lower and sacral spine, 2-3 views	110	76	$174.38	$32.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	55	$392.49	$127.66
20610 Aspiration and/or injection of fluid from large joint	41	21	$326.21	$51.78
72040 X-ray of upper spine, 2-3 views	32	20	$167.13	$29.46
72170 X-ray of pelvis, 1-2 views	30	22	$116.15	$28.99
73100 X-ray of wrist, 2 views	21	13	$131.94	$26.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	19	$4273.38	$458.05
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	19	14	$2302.43	$489.07
22612 Fusion of spine in lower back	17	16	$6175.89	$1003.71
73560 X-ray of knee, 1-2 views	16	13	$130.59	$28.02
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	14	$2988.80	$427.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$121.32	$40.26
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$5209.61	$1144.37
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	11	$2145.42	$434.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$99.09	$23.38
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	11	$2747.90	$261.06

Medical Specialties & State Licenses

CMS Verified: 2025-04-29

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 37381

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Specialist

NUCC Taxonomy Code: 174400000X

State License TN MD0000037381

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64063795 (KY)

Medicaid State Provider ID

Q000660 (TN)

Medicaid State Provider ID

3884156 (TN)

Commercial Insurance / Payer ID United Healthcare

201221325

Commercial Insurance / Payer ID Healthspring

201221325

Commercial Insurance / Payer ID Tricare

201221325

Commercial Insurance / Payer ID Aetna

7587475

Commercial Insurance / Payer ID First Health

5473141

Commercial Insurance / Payer ID Great West Healthcare

201221325

Commercial Insurance / Payer ID Bcbs Tn

4343269 (TN)

Hospital & Practice Group Affiliations

Advanced Diagnostic Imaging Pc

3443 Dickerson Pike, Nashville, TN 372072524

Phone: 6156122146

Advanced Diagnostic Imaging Pc

570 Hartsville Pike, Gallatin, TN 370662450

Phone: 6154523320

Advanced Diagnostic Imaging Pc

5651 Frist Blvd, Hermitage, TN 370762056

Phone: 6158850200

Advanced Diagnostic Imaging Pc

5655 1st Blvd, Hermitage, TN 370762053

Phone: 6153163000

Secondary Practice Locations

121 Bear Xing Ste 300

Mt Juliet, TN 371224306

Phone: 6158850200

4998 Crossings Cir Ste 200

Mt Juliet, TN 371220018

Phone: 6155535000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Megan Gesell , PT

Physical Therapist

NPI 1023272754

Physical Therapist

Dr. Erik Maryniw , MD

Orthopaedic Surgery

NPI 1063730059

Doctor of Medicine (M.D.)

Dr. Matthew King , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1093209918

Doctor of Podiatric Medicine

Hannah Hertel , PA-C

Physician Assistant

NPI 1144692328

Physician Assistant (Certified)

Katarina Shoulders , PTA

Physical Therapy Assistant

NPI 1164904983

Physical Therapist Assistant

Dr. Tarek Elalayli , MD

Orthopaedic Surgery

NPI 1174664296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2025

Orthopaedic Surgery (License #37381 in TN)

📍

Updated Practice Location September 10, 2024

Registered at 5651 FRIST BLVD STE 200, HERMITAGE, TN 370762056 (Tel: 6158850200)

✅

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2017

Registered at 5651 FRIST BLVD, SUITE 200, HERMITAGE, TN 370762054 (Tel: 6158850200)

📍

Updated Business Mailing Address May 10, 2017

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6158516033)

👤

Provider Name / Credentials Updated May 10, 2017

Recorded as MITUL PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Specialist (License #MD0000037381 in TN)

✅

NPI Profile Active March 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2014

Registered at 5651 FRIST BLVD, SUITE 200, HERMITAGE, TN 370762054 (Tel: 6158850200)

📍

Updated Business Mailing Address March 27, 2014

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6158516033)

👤

Provider Name / Credentials Updated March 27, 2014

Recorded as MITUL PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2014

Specialist (License #MD0000037381 in TN)

🟢

Initial NPI Registration & Enumeration February 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891836920

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 09, 2007

Last Update: April 29, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3024 Business Park Cir

Goodlettsville, TN 370723132

Phone: 6152392018

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.