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DR. PINECCA J PATEL-RAVAL DPM
NPI 1003012949
Podiatrist - Foot & Ankle Surgery in Cumming, GA

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
5830 BOND ST, STE 200, CUMMING, GA 30040(770) 455-4009(770) 455-4065 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2023, Feb 5, 2023 (2 updates tracked since 2023).

About Dr. Pinecca J Patel-raval Dpm NPPES

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

DR. PINECCA J PATEL-RAVAL DPM (NPI 1003012949) is an individual foot & ankle surgery provider in Cumming, Georgia, licensed in Georgia (POD001059) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of New York College Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1003012949
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PINECCA J PATEL-RAVALCredential: DPM
Location Address5830 BOND ST, STE 200Cumming, GA 30040-0307
Mailing Address3495 Buckhead Loop Ne # 18959Atlanta, GA 30326-1528 · (678) 539-0160 · Fax (801) 797-0276
Phone(770) 455-4009
Fax(770) 455-4065
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2003
Enumeration DateJune 26, 2007
Last NPPES UpdateMay 29, 20232 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1003012949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD001059
5830 BOND ST, Cumming, GA 30040
Open in Google Maps ↗

Other Identifiers 1

Other2320170GA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. Pinecca J Patel-raval Dpm 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 ID3476625070
PECOS Enrollment IDI20080626000265
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

2

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

Village Podiatry Group, L.L.C.
9.8 mi
Podiatrist
1350 UPPER HEMBREE RD STE 100
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Village Podiatry Group LLC
  • 69 clinicians in this Medicare group
NPI 1508846718 (678) 426-2171
Village Podiatry Group II, LLC.
27 mi
Foot & Ankle Surgery
2045 PEACHTREE ROAD NE, SUITE 810
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1427540699 (404) 446-1890

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services58 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
74 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

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.

PHYSICIANS 2 YOU, INC
Internal Medicine
5830 BOND ST, SUITE 200-C
CUMMING, GA 30040
Forsyth County (508) 250-7191
MICHAEL SHAWN MCMORAN
Dentist (Pediatric Dentistry)
5830 BOND ST, SUITE 350
CUMMING, GA 30040
Forsyth County (404) 520-3223
DOMINION ORTHOPAEDIC CLINIC, LLC
Durable Medical Equipment & Medical Supplies
5830 BOND ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 455-4009
DR. GARY STEVEN ORRIS M.D.
General Practice
5830 BOND ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 205-5518
MS. CONNIS NORWOOD NP-C
Clinical Nurse Specialist (Family Health)
5830 BOND ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 205-5518

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 Pinecca Patel-raval's NPI number?

The NPI number for Pinecca Patel-raval is 1003012949. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Pinecca Patel-raval located?

Pinecca Patel-raval practices at 5830 Bond St Ste 200, Cumming, GA 30040. The listed phone number is (770) 455-4009.

What is Pinecca Patel-raval's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Pinecca Patel-raval enrolled in Medicare?

Yes. Pinecca Patel-raval 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.

Which organizations bill Medicare for Pinecca Patel-raval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pinecca Patel-raval reassigns Medicare benefits to 2 organizations: Village Podiatry Group, L.L.C. (Roswell, GA) and Village Podiatry Group II, LLC. (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pinecca Patel-raval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pinecca Patel-raval accept?

Health plans from Alliant Health Plans, Inc. list Pinecca Patel-raval 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 Pinecca Patel-raval affiliated with any hospitals?

According to CMS data, Pinecca Patel-raval is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Pinecca Patel-raval was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.