DR. VISHAL R PATEL MD MBA
NPI 1205127172
Internal Medicine in Wilmington, DE

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
2300 PENNSYLVANIA AVE STE 4C, WILMINGTON, DE 19806(302) 440-4275 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Jul 15, 2020 (2 updates tracked since 2020).

About Dr. Vishal R Patel Md Mba NPPES

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

DR. VISHAL R PATEL MD MBA (NPI 1205127172) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0010457) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2011).

NPPES Registry Identity

NPI1205127172
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VISHAL R PATELCredential: MD MBA
Location Address2300 PENNSYLVANIA AVE STE 4CWilmington, DE 19806-1338
Mailing Address220 Weldin Ridge RdWilmington, DE 19803-3974 · (302) 440-4275 · Fax (302) 623-0275
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1205127172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in DE · C1-0010457 Licensed in MD · D0079030 Licensed in PA · D79030
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.
Also ListedPediatricsTaxonomy 208000000X · License C1-0010457 (DE)
2300 PENNSYLVANIA AVE STE 4C, Wilmington, DE 19806

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

Dr. Vishal R Patel Md Mba 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 ID7214168533
PECOS Enrollment IDI20260210001052
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19806 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$62.45 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$27.10 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 2

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

Psychiatry & Neurology (Psychiatry)
2300 PENNSYLVANIA AVE STE 4C
WILMINGTON, DE 19806
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2300 PENNSYLVANIA AVE STE 4C
WILMINGTON, DE 19806

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 Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1205127172. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Vishal Patel located?

Vishal Patel practices at 2300 Pennsylvania Ave Ste 4C, Wilmington, DE 19806. The listed phone number is (302) 440-4275.

What is Vishal Patel's specialty?

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

Is Vishal Patel enrolled in Medicare?

Yes. Vishal 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 Vishal Patel accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Vishal 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.

When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.