DR. VISHAL R PATEL MD MBA
NPI 1205127172
Internal Medicine in Wilmington, DE
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Vishal Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19807
- Reassigned Medicare billing, Delaware enrollment
- Also billed through NPI 1760811681 (Delaware), NPI 1245474329 (Delaware)
- 1,531 clinicians in this Medicare group
Wilmington, DE 19801
- Reassigned Medicare billing, Delaware enrollment
- 28 clinicians in this Medicare group
Malvern, PA 19355
- Reassigned Medicare billing, Delaware enrollment
- 9 clinicians in this Medicare group
King Of Prussia, PA 19406
- Reassigned Medicare billing, Pennsylvania enrollment
- 2 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Maryland enrollment
- 39 clinicians in this Medicare group
Park City, UT 84060
- Reassigned Medicare billing, Delaware enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
WILMINGTON, DE 19806
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.
Which organizations bill Medicare for Vishal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Patel reassigns Medicare benefits to 6 organizations: Christiana Care Health Services Inc (Wilmington, DE), Christianacare Virtual Health Practice PA (Wilmington, DE), Harmony Healthcare (Malvern, PA), Home Visit Medical PLLC (King Of Prussia, PA), Seasons Medical Group Of Maryland PC (Columbia, MD) 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 Vishal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vishal Patel accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas 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 15 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.
# Dr. Vishal R Patel, MD MBA · NPI 1205127172
Internal Medicine physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since April 27, 2011.
## Identity
- **NPI:** 1205127172 (Entity type: Individual)
- **Enumerated:** April 27, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C1-0010457 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 PENNSYLVANIA AVE STE 4C, Wilmington, DE 19806-1338
- **Phone:** (302) 440-4275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services Inc (NPI 1003844028, Wilmington, DE); Christianacare Virtual Health Practice PA (NPI 1619562410, Wilmington, DE); Harmony Healthcare (NPI 1265115026, Malvern, PA); Home Visit Medical PLLC (NPI 1023812468, King Of Prussia, PA); Seasons Medical Group Of Maryland PC (NPI 1376894931, Columbia, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2011
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205127172) · Data from the CMS NPPES public registry.