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

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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., Ambetter from Absolute Total Care, Ambetter Health and more.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. 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.

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.

What insurance does Pinecca Patel-raval accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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.