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KAJAL PATEL M.D, M.P.H
NPI 1003235060
Internal Medicine in Atlanta, GA

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1525 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-2700 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 (3 updates tracked since 2017).

About Kajal Patel M.d, M.p.h NPPES

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

KAJAL PATEL M.D, M.P.H (NPI 1003235060) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (078409) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003235060
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAJAL PATELCredential: M.D, M.P.H
Location Address1525 CLIFTON RD NEAtlanta, GA 30322-8463
Mailing Address1525 Clifton Rd NeAtlanta, GA 30322-8463 · (404) 778-2700
Phone(404) 778-2700
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1003235060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 078409
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1525 CLIFTON RD NE, Atlanta, GA 30322
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Secondary Practice Locations 2

Location 11364 Clifton Rd NEAtlanta, GA 30322-8463 · Phone (404) 251-8788
Location 280 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 616-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Kajal Patel M.d, M.p.h 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 ID6709142011
PECOS Enrollment IDI20171101003607
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 4

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.
220 services125 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
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.
44 services41 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.
35 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims35 services$5.46 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 20

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

DR. SHABNAM SHAH M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
HOWA YEUNG M.D.
Dermatology
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
MS. EILEEN MACCALLUM ANP-BC
Nurse Practitioner (Adult Health)
1525 CLIFTON RD NE, SUITE 207
ATLANTA, GA 30322
Dekalb County (404) 778-4451
DR. JULIE JUNGAH KIM
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
ALISON K LEE MD
Dermatology (MOHS-Micrographic Surgery)
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
SIDNEY MONTEZ BARR MD
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. WILLIAM THOMAS BRANCH JR. M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5472
CHANCE STODGHILL
Registered Nurse (College Health)
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7551

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 Kajal Patel's NPI number?

The NPI number for Kajal Patel is 1003235060. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Kajal Patel located?

Kajal Patel practices at 1525 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-2700.

What is Kajal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kajal Patel enrolled in Medicare?

Yes. Kajal Patel 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 Kajal Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kajal Patel 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 Kajal Patel affiliated with any hospitals?

According to CMS data, Kajal Patel is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kajal Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.