DR. PINECCA J PATEL-RAVAL DPM NPI 1003012949

Podiatrist (Foot & Ankle Surgery) in Cumming, GA

NPI 1003012949 Individual Female Podiatrist Foot & Ankle Surgery PECOS Enrolled

About PINECCA PATEL-RAVAL

Pinecca Patel-raval is a provider established in Cumming, Georgia and her medical specialization is podiatrist (foot & ankle surgery) . The NPI number of Pinecca Patel-raval is 1003012949 and was assigned on June 2007. The practitioner's primary taxonomy code is 213ES0103X with license number POD001059 (GA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

Pinecca Patel-raval is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Pinecca Patel-raval is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003012949

Provider NameDR. PINECCA J PATEL-RAVAL DPM
Provider Location Address5830 BOND ST STE 200 CUMMING, GA 30040
Provider Mailing Address5555 PEACHTREE DUNWOODY RD NE STE 215 ATLANTA, GA 30342
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-26-2007
Last Update Date11-19-2009


Primary Taxonomy

Taxonomy Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery
License No.POD001059
License StateGA

Business Address

DR. PINECCA J PATEL-RAVAL DPM
5830 BOND ST
STE 200
CUMMING, GA
ZIP 30040
Phone: (770) 455-4009
Fax: (770) 455-4065

Get Directions


Mailing Address

DR. PINECCA J PATEL-RAVAL DPM
5555 PEACHTREE DUNWOODY RD NE
STE 215
ATLANTA, GA
ZIP 30342
Phone: (770) 455-4009
Fax: (770) 455-4065



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 52X-ray of foot, minimum of 3 views (HCPCS:73630)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2320170OTHER (01)GA

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962400606MS. CONNIS NORWOOD NP-C
Individual
Clinical Nurse Specialist (Family Health)5830 BOND ST SUITE 200
CUMMING, GA 30040
(770) 205-5518
1770556276DR. GARY STEVEN ORRIS M.D.
Individual
General Practice5830 BOND ST SUITE 200
CUMMING, GA 30040
(770) 205-5518
1215186838PHYSICIANS 2 YOU, INC
Organization
Internal Medicine5830 BOND ST SUITE 200-C
CUMMING, GA 30040
(508) 250-7191
1679806889DOMINION ORTHOPAEDIC CLINIC, LLC
Organization
Durable Medical Equipment & Medical Supplies5830 BOND ST SUITE 200
CUMMING, GA 30040
(770) 455-4009
1538276597 MICHAEL SHAWN MCMORAN
Individual
Dentist (Pediatric Dentistry)5830 BOND ST SUITE 350
CUMMING, GA 30040
(404) 520-3223

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.