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VAISHALI ARUN PATEL MD
NPI 1124261656
Internal Medicine - Gastroenterology in Center Valley, PA

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
4505 SAUCON CREEK RD, CENTER VALLEY, PA 18034(484) 526-6545 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Lukes Quakertown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124261656
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameVAISHALI ARUN PATELCredential: MD
Location Address4505 SAUCON CREEK RDCenter Valley, PA 18034-8481
Mailing Address5822 Ricky Ridge TrlOrefield, PA 18069-8802 · (610) 780-5874
Phone(484) 526-6545
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2009
Enumeration DateApril 14, 2009
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1124261656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in PA · MD485690✔ Licensed in GA · 76129
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2013-01106 (NC)
4505 SAUCON CREEK RD, Center Valley, PA 18034
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12100 Erwin RdDurham, NC 27705-3941 · Phone (919) 684-8111
Location 21364 Clifton Rd NEAtlanta, GA 30322-3941 · Phone (404) 778-3184

Other Identifiers 1

OtherMD485690PA · Pa State Medical License

Accepted Insurance

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

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.

PECOS PAC ID3971745647
PECOS Enrollment IDI20240801001738
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 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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services29 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
27 services22 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
24 services24 patients
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.
23 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 patients
Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274
This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.
18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

SARAH JANICE OCHS PA-C
Physician Assistant
4505 SAUCON CREEK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 526-6545

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.

What insurance does Vaishali Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vaishali 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 Vaishali Patel affiliated with any hospitals?

According to CMS data, Vaishali Patel is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health, St Luke's Miners Memorial 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.