DIVYALATA VISHAL PATEL NP
NPI 1134462740
Nurse Practitioner in Decatur, GA

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment
94.05/100
CMS Quality Rating
3110 CLIFTON SPRINGS RD, DECATUR, GA 30034(404) 244-2200(404) 244-2209 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divyalata Vishal Patel Np NPPES

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

DIVYALATA VISHAL PATEL NP (NPI 1134462740) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (RN213374) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134462740
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIVYALATA VISHAL PATELCredential: NP
Location Address3110 CLIFTON SPRINGS RDDecatur, GA 30034-4600
Mailing Address445 Winn WayDecatur, GA 30030-1707 · (404) 294-3275 · Fax (404) 508-7862
Fax(404) 244-2209
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 2, 2013
NPI 1134462740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN213374
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3110 CLIFTON SPRINGS RD, Decatur, GA 30034

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

Divyalata Vishal Patel Np 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 ID9436393675
PECOS Enrollment IDI20130910000405
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30034 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%22 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
19%32 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%34 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
27%22 patients2/55-star benchmark: 98%
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.

Social Worker (Clinical)
3110 CLIFTON SPRINGS RD, SUITE B
DECATUR, GA 30034
Clinic/Center (Federally Qualified Health Center (FQHC))
3110 CLIFTON SPRINGS RD, SUITE B
DECATUR, GA 30034
Community/Behavioral Health
3110 CLIFTON SPRINGS RD
DECATUR, GA 30034
Registered Nurse
3110 CLIFTON SPRINGS RD
DECATUR, GA 30034
Registered Nurse
3110 CLIFTON SPRINGS RD
DECATUR, GA 30034
Psychologist (Clinical Child & Adolescent)
3110 CLIFTON SPRINGS RD, SUITE B
DECATUR, GA 30034
Licensed Practical Nurse
3110 CLIFTON SPRINGS RD, #B
DECATUR, GA 30034
Social Worker (Clinical)
3110 CLIFTON SPRINGS RD, CLIFTON SPRINGS MHC
DECATUR, GA 30034

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 Divyalata Patel's NPI number?

The NPI number for Divyalata Patel is 1134462740. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Divyalata Patel located?

Divyalata Patel practices at 3110 Clifton Springs Rd, Decatur, GA 30034. The listed phone number is (404) 244-2200.

What is Divyalata Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Divyalata Patel enrolled in Medicare?

Yes. Divyalata 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.

When was this NPI record last updated?

The NPPES record for Divyalata Patel was last updated on April 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.