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DR. ATULKUMAR N PATEL M.D.
NPI 1114901105
Anesthesiology in Franklin, WI

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3111 W RAWSON AVE, FRANKLIN, WI 53132(414) 761-2600(414) 761-2620 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Jul 3, 2018 (2 updates tracked since 2018).

About Dr. Atulkumar N Patel M.d. NPPES

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

DR. ATULKUMAR N PATEL M.D. (NPI 1114901105) is an individual anesthesiology provider in Franklin, Wisconsin, licensed in Wisconsin (30033-020) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Brookfield.

NPPES Registry Identity

NPI1114901105
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. ATULKUMAR N PATELCredential: M.D.
Location Address3111 W RAWSON AVEFranklin, WI 53132-9417
Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (714) 347-1053 · Fax (714) 647-1245
Phone(414) 761-2600
Fax(414) 761-2620
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1987
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1114901105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 30033-020
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3111 W RAWSON AVE, Franklin, WI 53132
Open in Google Maps ↗

Secondary Practice Location 1

Location 119333 W North AveBrookfield, WI 53045-4132 · Phone (262) 785-2000

Other Identifiers 2

Medicaid1114901105WI
OtherP00078323Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Atulkumar N 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 ID6305737115
PECOS Enrollment IDI20040322001519, I20260516000368
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

5

Medicare enrollment records show Atulkumar Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Lakes Anesthesia And Pain Specialists Sc
3.8 mi
Anesthesiology
10101 S 27TH ST
Franklin, WI 53132
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group
NPI 1720218647 (414) 817-5800
Vituity-Wisconsin Anesthesia Sc
5.0 mi
Anesthesiology
3237 S 16TH ST
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 210 clinicians in this Medicare group
NPI 1801620067 (414) 647-5000
The Medical College Of Wisconsin, Inc.
9.5 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Spectrum Health Primary Care Partners
92 mi
Physical Therapist
2009 HOLTON ROAD
Muskegon, MI 49445
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1386194538 (616) 486-6790
Allied Anesthesia Medical Group Inc
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
No phone listed

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.

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
20 services20 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
19 services19 patients
Other procedure on nervous system 64999
A procedure on the nervous system can involve various techniques to diagnose or treat conditions affecting your brain, spinal cord, or nerves. These can include surgeries, tests, or therapies. It's done by specialized doctors to help improve your neurological health.
18 services18 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI
OwnershipPhysician
CMS Certification Number520205
Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%467 patients5/55-star benchmark: 100%
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.

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.

MOLLY A MORROW OT
Occupational Therapist
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132
Milwaukee County (414) 761-0727
KAITLYN QUINN
Nurse Practitioner (Gerontology)
3111 W RAWSON AVE
FRANKLIN, WI 53132
Milwaukee County (414) 260-5544
WILLIAM T PENNINGTON MD
Orthopaedic Surgery
3111 W RAWSON AVE, #200
FRANKLIN, WI 53132
Milwaukee County (414) 325-4320
INNOVATIVE PAIN CARE, LLC
Anesthesiology (Pain Medicine)
3111 W RAWSON AVE, SUITE 210
FRANKLIN, WI 53132
Milwaukee County (414) 325-4370
MILWAUKEE SURGICAL SPECIALISTS SC
Surgery
3111 W RAWSON AVE, SUITE 225
FRANKLIN, WI 53132
Milwaukee County (414) 761-3100
STEVEN R TRINKL MD
Orthopaedic Surgery (Hand Surgery)
3111 W RAWSON AVE, #200
FRANKLIN, WI 53132
Milwaukee County (414) 325-4320
JOANN M PENNINGTON P.A.
Physician Assistant
3111 W RAWSON AVE, SUITE 200
FRANKLIN, WI 53132
Milwaukee County (414) 384-6700
ELIZABETH J GANSKE P.T.
Physical Therapist
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132
Milwaukee County (414) 761-0727

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 Atulkumar Patel's NPI number?

The NPI number for Atulkumar Patel is 1114901105. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Atulkumar Patel located?

Atulkumar Patel practices at 3111 W Rawson Ave, Franklin, WI 53132. The listed phone number is (414) 761-2600.

What is Atulkumar Patel's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Atulkumar Patel enrolled in Medicare?

Yes. Atulkumar 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.

Which organizations bill Medicare for Atulkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atulkumar Patel reassigns Medicare benefits to 5 organizations: Great Lakes Anesthesia And Pain Specialists Sc (Franklin, WI), Vituity-Wisconsin Anesthesia Sc (Milwaukee, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Spectrum Health Primary Care Partners (Muskegon, MI) and Allied Anesthesia Medical Group Inc (CA). Each 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 Atulkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atulkumar Patel accept?

Health plans from CareSource (Common Ground Healthcare) list Atulkumar 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 Atulkumar Patel affiliated with any hospitals?

According to CMS data, Atulkumar Patel is affiliated with Spectrum Health and Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Atulkumar Patel was last updated on September 18, 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.