VAISHALI ARUN PATEL MD
NPI 1124261656
Internal Medicine - Gastroenterology in Center Valley, PA
About Vaishali Arun Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAISHALI ARUN PATEL MD (NPI 1124261656) is an individual gastroenterology provider in Center Valley, Pennsylvania, licensed in Pennsylvania (MD485690) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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
Vaishali Arun Patel Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vaishali Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Center Valley, PA 18034
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAGrand View Health
Acute Care Hospitals · Sellersville, PASt Luke's Miners Memorial Hospital
Acute Care Hospitals · Coaldale, PAGeisinger St. Luke's Hospital
Acute Care Hospitals · Orwigsburg, PASt Luke's Hospital - Carbon Campus
Acute Care Hospitals · Lehighton, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vaishali Patel's NPI number?
The NPI number for Vaishali Patel is 1124261656. It was assigned to this individual provider in the NPPES registry on April 14, 2009.
Where is Vaishali Patel located?
Vaishali Patel practices at 4505 Saucon Creek Rd, Center Valley, PA 18034. The listed phone number is (484) 526-6545.
What is Vaishali Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Vaishali Patel enrolled in Medicare?
Yes. Vaishali 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 Vaishali Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vaishali Patel reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Center Valley, PA) and The Emory Clinic Inc (Atlanta, GA). 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 Vaishali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Vaishali Patel affiliated with any hospitals?
According to CMS data, Vaishali Patel is affiliated with St Luke's Hospital Bethlehem, Grand View Health, St Luke's Miners Memorial Hospital, Geisinger St. Luke's Hospital and St Luke's Hospital - Carbon Campus.
When was this NPI record last updated?
The NPPES record for Vaishali Patel was last updated on June 26, 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.
# Vaishali Arun Patel, MD · NPI 1124261656
Gastroenterology physician in Center Valley, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 14, 2009.
## Identity
- **NPI:** 1124261656 (Entity type: Individual)
- **Enumerated:** April 14, 2009
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD485690 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4505 SAUCON CREEK RD, Center Valley, PA 18034-8481
- **Phone:** (484) 526-6545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group, Inc. (NPI 1437101540, Center Valley, PA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2009
## Record status
- **NPPES last updated:** June 26, 2024
- **Other identifiers:** Other MD485690 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124261656) · Data from the CMS NPPES public registry.