DR. VINAY PATEL M.D.
NPI 1013048016
Internal Medicine in Concord, NC

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1070 VINEHAVEN DR NE, CONCORD, NC 28025(704) 783-1840(704) 783-1850 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Dec 5, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Vinay Patel M.d. NPPES

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

DR. VINAY PATEL M.D. (NPI 1013048016) is an individual internal medicine provider in Concord, North Carolina, licensed in North Carolina (2013-01530) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013048016
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VINAY PATELCredential: M.D.
Location Address1070 VINEHAVEN DR NEConcord, NC 28025-2438
Mailing Address410 Three Greens DriveCharlotte, NC 28202 · (803) 422-9201
Fax(704) 783-1850
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1013048016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2013-01530
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License MD-46717 (IA), 71506 (TN), 0101281812 (VA)
1070 VINEHAVEN DR NE, Concord, NC 28025

Other Identifiers 2

Medicaid201054960IN
Other000000624697KY · Anthem # With Coop Health

Accepted 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. Vinay Patel M.d. 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 ID3072661552
PECOS Enrollment IDI20130812000041, I20250314000204, I20250408002949
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 17

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.
104 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
49 services48 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.
43 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Physician Assistant (Medical)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Clinic/Center (Endoscopy)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Physician Assistant
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Internal Medicine (Gastroenterology)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
1070 VINEHAVEN DR NE, DEPT OF ANESTHESIA
CONCORD, NC 28025
Physician Assistant (Medical)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Internal Medicine (Gastroenterology)
1070 VINEHAVEN DR NE
CONCORD, NC 28025

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 Vinay Patel's NPI number?

The NPI number for Vinay Patel is 1013048016. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Vinay Patel located?

Vinay Patel practices at 1070 Vinehaven Dr NE, Concord, NC 28025. The listed phone number is (704) 783-1840.

What is Vinay Patel's specialty?

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

Is Vinay Patel enrolled in Medicare?

Yes. Vinay 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 Vinay Patel accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Vinay 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 Vinay Patel affiliated with any hospitals?

According to CMS data, Vinay Patel is affiliated with Naples Community Hospital, Carolinas Medical Center-Northeast and Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for Vinay Patel was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.