RUPAL PATEL MD
NPI 1174789614
Internal Medicine in Skippack, PA

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment
3887 SKIPPACK PIKE, SKIPPACK, PA 19474(610) 584-1663(610) 584-5188 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rupal Patel Md NPPES

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

RUPAL PATEL MD (NPI 1174789614) is an individual internal medicine provider in Skippack, Pennsylvania, licensed in Pennsylvania (MD441307) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Grand View Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1174789614
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRUPAL PATELCredential: MD
Location Address3887 SKIPPACK PIKESkippack, PA 19474
Mailing AddressPo Box 70, 3887 Skippack PikeSkippack, PA 19474 · (610) 584-1663 · Fax (610) 584-5188
Fax(610) 584-5188
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 4, 2008
Last NPPES UpdateNovember 19, 2014
NPI 1174789614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD441307
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3887 SKIPPACK PIKE, Skippack, PA 19474

Accepted 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

Rupal 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 ID5890977011
PECOS Enrollment IDI20110309000870
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 15

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 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.
352 services219 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
233 services233 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
210 services210 patients
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.
202 services151 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
198 services198 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
184 services184 patients

Hospital Affiliations CMS Care Compare 3

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

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

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19474 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 8

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

Clinical Medical Laboratory
3887 SKIPPACK PIKE
SKIPPACK, PA 19474
Physical Therapist
3887 SKIPPACK PIKE
SKIPPACK, PA 19474
Internal Medicine
3887 SKIPPACK PIKE
SKIPPACK, PA 19474
Internal Medicine
3887 SKIPPACK PIKE
SKIPPACK, PA 19474
Internal Medicine
3887 SKIPPACK PIKE
SKIPPACK, PA 19474
Physical Therapist
3887 SKIPPACK PIKE, LOWER LEVEL
SKIPPACK, PA 19474
Physician Assistant
3887 SKIPPACK PIKE
SKIPPACK, PA 19474
Internal Medicine
3887 SKIPPACK PIKE
SKIPPACK, PA 19474

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 Rupal Patel's NPI number?

The NPI number for Rupal Patel is 1174789614. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Rupal Patel located?

Rupal Patel practices at 3887 Skippack Pike, Skippack, PA 19474. The listed phone number is (610) 584-1663.

What is Rupal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rupal Patel enrolled in Medicare?

Yes. Rupal 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 Rupal Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rupal 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 Rupal Patel affiliated with any hospitals?

According to CMS data, Rupal Patel is affiliated with Grand View Health, Phoenixville Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Rupal Patel was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.