SANDEEP B PATEL M.D.
NPI 1184631533
Internal Medicine in Concord, NC

Active since August 01, 2006PECOS Enrolled
101 CABARRUS AVE E, CONCORD, NC 28025(888) 849-7379(855) 857-7333 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2020, Feb 6, 2017 (2 updates tracked since 2017).

About Sandeep B Patel M.d. NPPES

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

SANDEEP B PATEL M.D. (NPI 1184631533) is an individual internal medicine provider in Concord, North Carolina, licensed in North Carolina (2016-01602) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184631533
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANDEEP B PATELCredential: M.D.
Location Address101 CABARRUS AVE EConcord, NC 28025-3699
Mailing Address101 Cabarrus Ave EConcord, NC 28025-3699 · (888) 849-7379 · Fax (855) 857-7333
Fax(855) 857-7333
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateApril 8, 20202 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
NPI 1184631533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2016-01602
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.
101 CABARRUS AVE E, Concord, NC 28025

Other Identifiers 2

Medicaid2646873OH
Medicaid1912338328NC

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 (PECOS)

Sandeep B Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668476961
PECOS Enrollment IDI20160907002628, I20191015000124
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
184 services136 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
128 services116 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
102 services99 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
102 services74 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
98 services50 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
34 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%1,225 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%1,117 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 33

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers13 claims37 services$5.57 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers14 claims220 services$7.69 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers11 claims160 services$5.76 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims1,640 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims1,214 services$0.36 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims900 services$0.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
101 CABARRUS AVE E
CONCORD, NC 28025
Nurse Practitioner (Family)
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Nurse Practitioner
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Family Medicine
101 CABARRUS AVE E
CONCORD, NC 28025

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 Sandeep Patel's NPI number?

The NPI number for Sandeep Patel is 1184631533. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Sandeep Patel located?

Sandeep Patel practices at 101 Cabarrus Ave E, Concord, NC 28025. The listed phone number is (888) 849-7379.

What is Sandeep Patel's specialty?

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

Is Sandeep Patel enrolled in Medicare?

Yes. Sandeep Patel is registered in the Medicare PECOS enrollment system.

What insurance does Sandeep Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and CareSource list Sandeep 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 Sandeep Patel affiliated with any hospitals?

According to CMS data, Sandeep Patel is affiliated with Atrium Health Cleveland, Wilkes Regional Medical Center, Stanly Regional Medical Center and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Sandeep Patel was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.