Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALPA VALLABH PATEL MD
NPI 1144217886
Internal Medicine - Sleep Medicine in Columbus, OH

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
555 S 18TH ST, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Jul 22, 2026, Dec 17, 2025 and 8 more (11 updates tracked since 2016).

About Alpa Vallabh Patel Md NPPES

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

ALPA VALLABH PATEL MD (NPI 1144217886) is an individual sleep medicine provider in Columbus, Ohio, licensed in Ohio (35.074451) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Nationwide Children's Hospital, and maintains 14 additional practice locations.

NPPES Registry Identity

NPI1144217886
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameALPA VALLABH PATELCredential: MD
Location Address555 S 18TH STColumbus, OH 43205-2654
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-4750 · Fax (614) 722-4755
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1994
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 5, 202611 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1144217886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in OH · 35.074451
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35074451 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35074451 (OH)
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 35074451 (OH)
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License 35.074451 (OH)
555 S 18TH ST, Columbus, OH 43205

Secondary Practice Locations 14

Location 1830 W High StLima, OH 45801-3971 · Phone (614) 722-2000
Location 21800 Heinzerling DrColumbus, OH 43223-3642 · Phone (614) 722-6200
Location 3150 W Main StNew Albany, OH 43054-9229 · Phone (614) 722-2000
Location 4452 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-4299 · Fax (614) 293-2867
Location 526 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2530 · Fax (614) 722-5995
Location 65665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 72213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-6430
Location 82222 Cherry StToledo, OH 43608-2673 · Phone (419) 251-6430
Location 9700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-4750 · Fax (614) 722-4755
Location 104363 All Seasons DrHilliard, OH 43026-2050 · Phone (614) 722-2000
Location 11500 W Market StTiffin, OH 44883-2610 · Phone (419) 251-6430
Location 12433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-6200
Location 137450 Hospital DrDublin, OH 43016-9642 · Phone (614) 722-6200
Location 141400 E 2nd StDefiance, OH 43512-9905 · Phone (419) 251-6430

Other Identifiers 2

Medicaid64016686KY
Medicaid2305115OH

Accepted 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

Alpa Vallabh 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 ID1658405659
PECOS Enrollment IDI20100812000553
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

6

Medicare enrollment records show Alpa Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
Internal Medicine
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 1,230 clinicians in this Medicare group
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
Family Medicine
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 457 clinicians in this Medicare group
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 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.

Hospital Affiliations CMS Care Compare

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

Nationwide Children's Hospital

Childrens · Columbus, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number363305
Location700 Children's DriveColumbus, OH 43205 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Pulmonology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Nephrology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Gastroenterology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Neurodevelopmental Disabilities)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics
555 S 18TH ST
COLUMBUS, OH 43205
Nurse Practitioner (Family)
555 S 18TH ST
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
555 S 18TH ST
COLUMBUS, OH 43205

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 Alpa Patel's NPI number?

The NPI number for Alpa Patel is 1144217886. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Alpa Patel located?

Alpa Patel practices at 555 S 18th St, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Alpa Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Alpa Patel enrolled in Medicare?

Yes. Alpa 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 Alpa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alpa Patel reassigns Medicare benefits to 6 organizations: Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH), Osu Internal Medicine, LLC (Columbus, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH), Mercy Health Physicians-North LLC (Toledo, OH) and 1 more organization, listed in the Medicare section above. 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 Alpa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alpa Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Alpa 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 Alpa Patel affiliated with any hospitals?

According to CMS data, Alpa Patel is affiliated with Nationwide Children's Hospital.

When was this NPI record last updated?

The NPPES record for Alpa Patel was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.