DHAVAL PANKAJ PATEL DO
NPI 1104288927
Internal Medicine in Valdosta, GA

Q: What is Dhaval Patel's NPI number?

The NPI number for Dhaval Patel is 1104288927. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Dhaval Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dhaval Patel was last updated on October 27, 2023. 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 March 22, 2016PECOS Enrolled

85.99/100

CMS Quality Rating

2501 N PATTERSON ST, VALDOSTA, GA 31602(229) 433-3417(229) 433-3454 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2023, Mar 22, 2016 (2 updates tracked since 2016).

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About Dhaval Pankaj Patel Do NPPES

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

DHAVAL PANKAJ PATEL DO (NPI 1104288927) is an individual internal medicine provider in Valdosta, Georgia, licensed in Georgia (83715) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1104288927

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDHAVAL PANKAJ PATELCredential: DO

Location Address2501 N PATTERSON STValdosta, GA 31602-1735

Mailing Address3911 Bettys PlHahira, GA 31632-2771 · (813) 440-9829

Phone(229) 433-3417

Fax(229) 433-3454

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016

Enumeration DateMarch 22, 2016

Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 27, 2023

✔ NPI 1104288927 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 · 83715

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.

2501 N PATTERSON ST, Valdosta, GA 31602

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dhaval Pankaj Patel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759677883

PECOS Enrollment IDI20200111000003

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 Reassignments

Medicare enrollment records show Dhaval Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Georgia Medical Center Inc

Same address

General Acute Care Hospital

2501 N PATTERSON ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
118 clinicians in this Medicare group

NPI 1144096553 (229) 433-1000

Sgmc Physician Network Inc

Same address

Multi-Specialty

2501 N PATTERSON ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
183 clinicians in this Medicare group

NPI 1417597170 (229) 433-1997

Apogee Medical Group Georgia Inc

214 mi

Internal Medicine

705 DIXIE ST
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
335 clinicians in this Medicare group

NPI 1629025143 (770) 836-9667

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 4

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 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.

255 services137 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.

93 services90 patients

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.

80 services62 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.

74 services73 patients

Hospital Affiliations CMS Care Compare 3

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

Sgmc Berrien Campus

Acute Care Hospitals · Nashville, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110234

Location1221 E Mcpherson AvenueNashville, GA 31639 · Berrien County

Emergency services

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111326

Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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.

85.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.98

Improvement Activities

Cost

80.63

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers31 claims31 services$17.02 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

4 suppliers52 claims52 services$86.23 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$34.12 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.

JOHN STEPHEN DODD NP

Nurse Practitioner (Acute Care)