AMIT J PATEL MD
NPI 1053979112
Pathology - Anatomic Pathology & Clinical Pathology in Richmond, VA
About Amit J Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMIT J PATEL MD (NPI 1053979112) is an individual anatomic pathology & clinical pathology provider in Richmond, Virginia, licensed in Virginia (0101281356) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and maintains a secondary practice location in Richmond.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Amit J 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.
Medicare Billing Reassignment
Medicare enrollment records show Amit Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johnson City, TN 37604
- Reassigned Medicare billing, Tennessee and Virginia enrollments
- Also billed through NPI 1720053945 (Virginia)
- 13 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sycamore Shoals Hospital
Acute Care Hospitals · Elizabethton, TNGreeneville Community Hospital
Acute Care Hospitals · Greeneville, TNJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNFranklin Woods Community Hospital
Acute Care Hospitals · Johnson City, TNJohnston Memorial Hospital
Acute Care Hospitals · Abingdon, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amit Patel's NPI number?
The NPI number for Amit Patel is 1053979112. It was assigned to this individual provider in the NPPES registry on June 4, 2019.
Where is Amit Patel located?
Amit Patel practices at Vcuhs Dept Of Path Residency, 980662 1250 E. Marshall Street, Richmond, VA 23298. The listed phone number is (804) 827-0561.
What is Amit Patel's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Amit Patel enrolled in Medicare?
Yes. Amit 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 organization bills Medicare for Amit Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amit Patel reassigns Medicare benefits to Watauga Pathology Associates PC (Johnson City, TN). The 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 Amit Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amit Patel accept?
Health plans from Cigna Healthcare and Oscar Health list Amit 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 Amit Patel affiliated with any hospitals?
According to CMS data, Amit Patel is affiliated with Sycamore Shoals Hospital, Greeneville Community Hospital, Johnson City Medical Center, Franklin Woods Community Hospital and Johnston Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Amit Patel was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amit J Patel, MD · NPI 1053979112
Anatomic Pathology & Clinical Pathology physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since June 4, 2019.
## Identity
- **NPI:** 1053979112 (Entity type: Individual)
- **Enumerated:** June 4, 2019
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 0101281356 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** VCUHS DEPT OF PATH RESIDENCY, 980662, 1250 E. MARSHALL STREET, Richmond, VA 23298-0662
- **Phone:** (804) 827-0561
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Watauga Pathology Associates PC (NPI 1174820971, Johnson City, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053979112) · Data from the CMS NPPES public registry.