MEHULKUMAR KANTILAL ROOPARELIYA MD
NPI 1073939963
Internal Medicine in Fredericksburg, VA

Active since March 15, 2014PECOS EnrolledAccepts Medicare Assignment
12006 KILARNEY DR, FREDERICKSBURG, VA 22407(540) 786-9771(540) 548-8803 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2017, Jan 22, 2016 (2 updates tracked since 2016).

About Mehulkumar Kantilal Roopareliya Md NPPES

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

MEHULKUMAR KANTILAL ROOPARELIYA MD (NPI 1073939963) is an individual internal medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101259895) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073939963
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMEHULKUMAR KANTILAL ROOPARELIYACredential: MD
Location Address12006 KILARNEY DRFredericksburg, VA 22407-7207
Mailing Address12006 Kilarney DriveFredericksburg, VA 22407 · (540) 786-9771 · Fax (540) 548-8803
Fax(540) 548-8803
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 15, 2014
Last NPPES UpdateJuly 28, 20172 updates tracked since enumeration
NPI 1073939963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101259895
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.
12006 KILARNEY DR, Fredericksburg, VA 22407

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

Mehulkumar Kantilal Roopareliya 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 ID2668699430
PECOS Enrollment IDI20170918000750
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.

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.
477 services230 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.
383 services223 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services92 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services55 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22407 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers47 claims47 services$15.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers47 claims47 services$76.04 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 12

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

Nurse Practitioner (Family)
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Internal Medicine
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Family Medicine
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Nurse Practitioner (Family)
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Internal Medicine
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Internal Medicine
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Family Medicine
12006 KILARNEY DR
FREDERICKSBURG, VA 22407
Physician Assistant
12006 KILARNEY DR
FREDERICKSBURG, VA 22407

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 Mehulkumar Roopareliya's NPI number?

The NPI number for Mehulkumar Roopareliya is 1073939963. It was assigned to this individual provider in the NPPES registry on March 15, 2014.

Where is Mehulkumar Roopareliya located?

Mehulkumar Roopareliya practices at 12006 Kilarney Dr, Fredericksburg, VA 22407. The listed phone number is (540) 786-9771.

What is Mehulkumar Roopareliya's specialty?

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

Is Mehulkumar Roopareliya enrolled in Medicare?

Yes. Mehulkumar Roopareliya 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.

Is Mehulkumar Roopareliya affiliated with any hospitals?

According to CMS data, Mehulkumar Roopareliya is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Mehulkumar Roopareliya was last updated on July 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.