DR. BIRJU B. PATEL M.D., F.A.C.P.
NPI 1093771347
Internal Medicine in Gainesville, GA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501(770) 536-9864(770) 297-5023 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Birju B. Patel M.d., F.a.c.p. NPPES

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

DR. BIRJU B. PATEL M.D., F.A.C.P. (NPI 1093771347) is an individual internal medicine provider in Gainesville, Georgia, licensed in Georgia (51706) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1093771347
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BIRJU B. PATELCredential: M.D., F.A.C.P.
Location Address1240 JESSE JEWELL PKWY SE, SUITE 500Gainesville, GA 30501-3862
Mailing Address1240 Jesse Jewell Pkwy Se, Suite 500Gainesville, GA 30501-3862 · (770) 536-9864 · Fax (770) 297-5023
Fax(770) 297-5023
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 25, 2006
Last NPPES UpdateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
NPI 1093771347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 51706
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.

1240 JESSE JEWELL PKWY SE, Gainesville, GA 30501

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. Birju B. Patel M.d., F.a.c.p. 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 ID7911181862
PECOS Enrollment IDI20110418000613
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 51

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,982 services22 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.
1,315 services489 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,131 services454 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
950 services448 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
931 services445 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
740 services408 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.98
Promoting Interoperability94
Improvement Activities40
Cost77.6

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers55 claims135 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims27 services$0.99 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$37.32 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers12 claims72 services$15.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers16 claims16 services$60.45 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers16 claims16 services$18.41 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.

Family Medicine
1240 JESSE JEWELL PKWY SE, SUITE 370
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine (Pulmonary Disease)
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Urology
1240 JESSE JEWELL PKWY SE, STE 200
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Orthopaedic Surgery
1240 JESSE JEWELL PKWY SE, SUITE 300
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501

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 Birju Patel's NPI number?

The NPI number for Birju Patel is 1093771347. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Birju Patel located?

Birju Patel practices at 1240 Jesse Jewell Pkwy SE Suite 500, Gainesville, GA 30501. The listed phone number is (770) 536-9864.

What is Birju Patel's specialty?

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

Is Birju Patel enrolled in Medicare?

Yes. Birju 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 Birju Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Birju 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 Birju Patel affiliated with any hospitals?

According to CMS data, Birju Patel is affiliated with Northside Hospital Forsyth, Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Birju Patel was last updated on March 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.