PRIYESH ASHOK PATEL MD
NPI 1083858047
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Concord, NC

Q: What is Priyesh Patel's NPI number?

The NPI number for Priyesh Patel is 1083858047. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Q: What is Priyesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Priyesh Patel was last updated on July 17, 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.

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment

100 MEDICAL PARK DR, STE 210, CONCORD, NC 28025(704) 403-6100 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, May 10, 2023, Mar 14, 2023 and 34 more (37 updates tracked since 2015).

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About Priyesh Ashok Patel Md NPPES

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

PRIYESH ASHOK PATEL MD (NPI 1083858047) is an individual advanced heart failure and transplant cardiology provider in Concord, North Carolina, licensed in North Carolina (2012-00542) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083858047

Entity TypeIndividualMale

Primary Taxonomy207RA0001X

Provider Legal NamePRIYESH ASHOK PATELCredential: MD

Location Address100 MEDICAL PARK DR, STE 210Concord, NC 28025-2948

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 403-6100

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2009

Enumeration DateApril 21, 2009

Last NPPES UpdateJuly 17, 202437 updates tracked since enumeration

✔ NPI 1083858047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in NC · 2012-00542

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2012-00542 (NC)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2012-00542 (NC)

100 MEDICAL PARK DR, Concord, NC 28025

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Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

Location 2134 Medical Park Rd, Ste 111 - Adult CardiologyMooresville, NC 28117-8526 · Phone (704) 801-9100

Location 31237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212

Location 4101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950

Accepted Insurance

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

Priyesh Ashok 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 ID1254620149

PECOS Enrollment IDI20160517000139, I20240715001567

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 7

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.

110 services59 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.

88 services70 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

59 services28 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.

30 services29 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.

22 services22 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230046

Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw 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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier11 claims11 services$17.93 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers12 claims78 services$36.82 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

2 suppliers12 claims610 services$1.31 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.

CHELSEA ELAINE MELOCHE MD

Internal Medicine (Cardiovascular Disease)

100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025

Cabarrus County (704) 403-6100

CMC-NORTHEAST, INC.

Internal Medicine (Hematology & Oncology)

100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025

Cabarrus County (704) 403-1370

MEGHAN REBECCA STEINER MD

Internal Medicine

100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025

Cabarrus County (704) 403-1370

STEPHEN SEAN ZOUZOULAS MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025

Cabarrus County (704) 403-6100

KAITLIN KAROL EIBELER NP

Nurse Practitioner

100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025

Cabarrus County (704) 403-1370

AMANDA LYNN COOK MD

Pediatrics (Pediatric Cardiology)

100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025

Cabarrus County (704) 403-2860

LAUREN PAIGE CARTWRIGHT PA

Physician Assistant

100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025

Cabarrus County (704) 403-6100

ANDREW ZACHARY HELING MD

Pediatrics

100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025

Cabarrus County (704) 403-2660

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 Priyesh Patel's NPI number?

The NPI number for Priyesh Patel is 1083858047. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Priyesh Patel located?

Priyesh Patel practices at 100 Medical Park Dr Ste 210, Concord, NC 28025. The listed phone number is (704) 403-6100.

What is Priyesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Priyesh Patel enrolled in Medicare?

Yes. Priyesh 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 Priyesh Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Priyesh 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 Priyesh Patel affiliated with any hospitals?

According to CMS data, Priyesh Patel is affiliated with University Of Michigan Health System, Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Priyesh Patel was last updated on July 17, 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.