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DR. CHETAN PATEL M.D.
NPI 1093820474
Pediatrics - Neonatal-Perinatal Medicine in Madera, CA

Active since August 19, 2006PECOS Enrolled
9300 VALLEY CHILDREN'S PL, MADERA, CA 93638(559) 353-8038(559) 353-8168 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2022, Mar 12, 2020 (2 updates tracked since 2020).

About Dr. Chetan Patel M.d. NPPES

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

DR. CHETAN PATEL M.D. (NPI 1093820474) is an individual neonatal-perinatal medicine provider in Madera, California, licensed in California (A53272) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093820474
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. CHETAN PATELCredential: M.D.
Location Address9300 VALLEY CHILDREN'S PLMadera, CA 93638-8762
Mailing Address9300 Valley Childrens PlMadera, CA 93636-8761 · (559) 353-5700 · Fax (559) 353-5708
Phone(559) 353-8038
Fax(559) 353-8168
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1093820474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A53272
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
9300 VALLEY CHILDREN'S PL, Madera, CA 93638
Open in Google Maps ↗

Other Identifiers 1

Medicaid1093820474CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chetan Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Chetan Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Children's Medical Group
85 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chetan Patel's NPI number?

The NPI number for Chetan Patel is 1093820474. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Chetan Patel located?

Chetan Patel practices at 9300 Valley Children's Pl, Madera, CA 93638. The listed phone number is (559) 353-8038.

What is Chetan Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Chetan Patel enrolled in Medicare?

Yes. Chetan Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chetan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chetan Patel reassigns Medicare benefits to Valley Children's Medical Group (Modesto, CA). 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 Chetan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chetan Patel accept?

Health plans from Cigna HealthCare of Arizona, Inc list Chetan 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.

When was this NPI record last updated?

The NPPES record for Chetan Patel was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.