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ARPAN H. PATEL MD
NPI 1033475983
Internal Medicine - Gastroenterology in Acton, MA

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
45 B DISCOVERY WAY, ACTON, MA 01720(978) 429-2010(978) 264-1986 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2021, Jan 3, 2019, Sep 18, 2018 (3 updates tracked since 2018).

About Arpan H. Patel Md NPPES

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

ARPAN H. PATEL MD (NPI 1033475983) is an individual gastroenterology provider in Acton, Massachusetts, licensed in Massachusetts (284228) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Northwestern University Feinberg Medical School (2012).

NPPES Registry Identity

NPI1033475983
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameARPAN H. PATELCredential: MD
Location Address45 B DISCOVERY WAYActon, MA 01720-4482
Mailing Address45 B Discovery WayActon, MA 01720-4482 · (978) 429-2010 · Fax (978) 264-1986
Phone(978) 429-2010
Fax(978) 264-1986
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateJanuary 21, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1033475983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MA · 284228✔ Licensed in MI · 4301103482
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301103482 (MI)
45 B DISCOVERY WAY, Acton, MA 01720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Arpan H. Patel Md 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 ID5597065565
PECOS Enrollment IDI20201007001133
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 Arpan Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Middlesex Gastroenterolgy,p.C.
Same address
Specialist
45 DISCOVERY WAY # B
Acton, MA 01720
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Middlesex Gastroenterolgy PC
  • 17 clinicians in this Medicare group
NPI 1992845911 (978) 429-2010
Digestive Health Associates P.C.
15 mi
Gastroenterology
955 MAIN ST
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 12 clinicians in this Medicare group
NPI 1912941733 (781) 729-5855

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 14

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
166 services166 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.
124 services82 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.
86 services82 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
80 services79 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.
75 services45 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
53 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01720 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Arpan Patel's NPI number?

The NPI number for Arpan Patel is 1033475983. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Arpan Patel located?

Arpan Patel practices at 45 B Discovery Way, Acton, MA 01720. The listed phone number is (978) 429-2010.

What is Arpan Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Arpan Patel enrolled in Medicare?

Yes. Arpan 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.

Which organizations bill Medicare for Arpan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arpan Patel reassigns Medicare benefits to 2 organizations: Middlesex Gastroenterolgy,p.C. (Acton, MA) and Digestive Health Associates P.C. (Winchester, MA). 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 Arpan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arpan Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Arpan 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 Arpan Patel affiliated with any hospitals?

According to CMS data, Arpan Patel is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Arpan Patel was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.