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AVIGNAT S PATEL M.D.
NPI 1124133921
Internal Medicine - Critical Care Medicine in Burlington, MA

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-8000(781) 744-3443 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avignat S Patel M.d. NPPES

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

AVIGNAT S PATEL M.D. (NPI 1124133921) is an individual critical care medicine provider in Burlington, Massachusetts, licensed in Massachusetts (224213) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of New York University School Of Medicine (2003).

NPPES Registry Identity

NPI1124133921
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameAVIGNAT S PATELCredential: M.D.
Location Address41 MALL RD, LAHEY CLINICBurlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey ClinicBurlington, MA 01805-0001 · (781) 744-8000 · Fax (781) 744-3443
Phone(781) 744-8000
Fax(781) 744-3443
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2003
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1124133921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MA · 224213
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 224213 (MA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 224213 (MA)
41 MALL RD, Burlington, MA 01805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Avignat S 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 ID7517986318
PECOS Enrollment IDI20051121000848
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

2

Medicare enrollment records show Avignat Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lahey Clinic, Inc.
Same address
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
NPI 1538194980 (781) 744-8000
Mass General Brigham Medical Group Suburban Massachusetts Inc
13 mi
Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group
NPI 1538191218 (617) 243-6262

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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 services65 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.
38 services30 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
37 services22 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.
24 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

SAHOOR KHAN
Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
FNU KALEEMULLAH MD
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
ARLENE DEBORAH STOLLER ACNS
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (617) 460-2222
THAIS BITENCOURT ROBERTS AGNP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
JULIE ALHADY
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-7592
DR. MEHDI KHANI MD
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
FATIMA RODA
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
RAISA CUCCIO NP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000

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 Avignat Patel's NPI number?

The NPI number for Avignat Patel is 1124133921. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Avignat Patel located?

Avignat Patel practices at 41 Mall Rd Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Avignat Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Avignat Patel enrolled in Medicare?

Yes. Avignat 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 Avignat Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avignat Patel reassigns Medicare benefits to 2 organizations: Lahey Clinic, Inc. (Burlington, MA) and Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA). 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 Avignat Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avignat Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Avignat 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 Avignat Patel affiliated with any hospitals?

According to CMS data, Avignat Patel is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Avignat Patel was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.