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SIDDHARTH SHAILESH PATEL
NPI 1205553914
Physician Assistant in South Boston, VA

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
6046 BILL TUCK HWY, SOUTH BOSTON, VA 24592(434) 222-5012 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Siddharth Shailesh Patel NPPES

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

SIDDHARTH SHAILESH PATEL (NPI 1205553914) is an individual physician assistant in South Boston, Virginia and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205553914
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSIDDHARTH SHAILESH PATEL
Location Address6046 BILL TUCK HWYSouth Boston, VA 24592-6442
Mailing Address6046 Bill Tuck HwySouth Boston, VA 24592-6442 · (434) 222-5012
Phone(434) 222-5012
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1205553914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6046 BILL TUCK HWY, South Boston, VA 24592
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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

Siddharth Shailesh Patel 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 ID3678060373
PECOS Enrollment IDI20251016000038
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

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Siddharth Patel's NPI number?

The NPI number for Siddharth Patel is 1205553914. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Siddharth Patel located?

Siddharth Patel practices at 6046 Bill Tuck Hwy, South Boston, VA 24592. The listed phone number is (434) 222-5012.

What is Siddharth Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Siddharth Patel enrolled in Medicare?

Yes. Siddharth 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.

Is Siddharth Patel affiliated with any hospitals?

According to CMS data, Siddharth Patel is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Siddharth Patel was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.