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DR. MANOJ K PATEL M.D.
NPI 1104817808
Internal Medicine - Nephrology in Columbus, GA

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
62.97/100
CMS Quality Rating
2424A WARM SPRINGS RD, COLUMBUS, GA 31904(706) 327-6296(706) 571-0036 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Manoj K Patel M.d. NPPES

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

DR. MANOJ K PATEL M.D. (NPI 1104817808) is an individual nephrology provider in Columbus, Georgia, licensed in Georgia (48811) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1104817808
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MANOJ K PATELCredential: M.D.
Location Address2424A WARM SPRINGS RDColumbus, GA 31904-5638
Mailing Address2424a Warm Springs RdColumbus, GA 31904-5638 · (706) 327-6296 · Fax (706) 571-0036
Phone(706) 327-6296
Fax(706) 571-0036
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 2, 2005
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1104817808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in GA · 48811✔ Licensed in AL · 23383
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2424A WARM SPRINGS RD, Columbus, GA 31904
Open in Google Maps ↗

Other Identifiers 12

Other060010676AL · Bc/bs
Medicare UPING78458
Medicaid00871582FGA
Medicaid00871582CGA
Other52669915United Healthcare
Medicaid00871582GGA
Medicaid000055505AL
Other390006997Railroad Medicare
Medicare PIN39BDCBWGA
Medicaid00871582BGA
Medicare PIN000055505AL
Other699150GA · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama.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. Manoj K Patel M.d. 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 ID6406935758
PECOS Enrollment IDI20080512000444, I20111102000624
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 11

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.

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.
996 services397 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
979 services379 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.
737 services258 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
579 services70 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.
453 services172 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
211 services158 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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.

62.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost54.57

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%594 patients5/55-star benchmark: 87%
Controlling High Blood Pressure
100%284 patients5/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%140 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%587 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%463 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%473 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 539 patients
100%42 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
100%330 patients5/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers20 claims2,120 services$0.27 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers30 claims5,220 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers31 claims31 services$18.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers23 claims26 services$9.69 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 2

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

DR. KAMLESH NATVARLAL PATEL M.D.
Internal Medicine (Nephrology)
2424A WARM SPRINGS RD
COLUMBUS, GA 31904
Muscogee County (706) 327-6296
DR. DAVID ERNEST WHITE M.D.
Internal Medicine (Nephrology)
2424A WARM SPRINGS RD
COLUMBUS, GA 31904
Muscogee County (706) 327-6296

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 Manoj Patel's NPI number?

The NPI number for Manoj Patel is 1104817808. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Manoj Patel located?

Manoj Patel practices at 2424A Warm Springs Rd, Columbus, GA 31904. The listed phone number is (706) 327-6296.

What is Manoj Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manoj Patel enrolled in Medicare?

Yes. Manoj 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 Manoj Patel accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Alabama list Manoj 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 Manoj Patel affiliated with any hospitals?

According to CMS data, Manoj Patel is affiliated with Piedmont Columbus Regional Midtown, St Francis Hospital- Emory Healthcare and Piedmont Columbus Regional Northside.

When was this NPI record last updated?

The NPPES record for Manoj Patel was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.