ROOPA SURESH PATEL DO
NPI 1164917340
Surgery - Vascular Surgery in Jackson, MI

Q: What is Roopa Patel's NPI number?

The NPI number for Roopa Patel is 1164917340. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Q: What is Roopa Patel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Roopa Patel was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment

205 N EAST AVE, JACKSON, MI 49201(517) 205-7182 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Roopa Suresh Patel Do NPPES

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

ROOPA SURESH PATEL DO (NPI 1164917340) is an individual vascular surgery provider in Jackson, Michigan, licensed in Oregon (DO225010) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Medical Center - Riverbend, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1164917340

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameROOPA SURESH PATELCredential: DO

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-7182

Phone(517) 205-7182

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 29, 2018

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1164917340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in OR · DO225010

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101024319 (MI)

205 N EAST AVE, Jackson, MI 49201

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Secondary Practice Location 1

Location 13377 Riverbend Dr Ste 340Springfield, OR 97477-8803 · Phone (541) 222-8080 · Fax (541) 222-8398

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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

Roopa Suresh Patel Do 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 ID4183970098

PECOS Enrollment IDI20250908002949

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.

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380102

Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Peacehealth Cottage Grove Community Medical Center

Critical Access Hospitals · Cottage Grove, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381301

Location1515 Village DriveCottage Grove, OR 97424 · Lane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant