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RADHIKA PATEL DO
NPI 1215436845
Family Medicine in Roswell, GA

Active since February 09, 2018PECOS EnrolledAccepts Medicare Assignment
1295 HEMBREE RD STE 200, ROSWELL, GA 30076(770) 404-6151(770) 521-2231 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2023, Mar 10, 2023, Aug 31, 2020 (3 updates tracked since 2020).

About Radhika Patel Do NPPES

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

RADHIKA PATEL DO (NPI 1215436845) is an individual family medicine provider in Roswell, Georgia, licensed in Georgia (88747) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215436845
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRADHIKA PATELCredential: DO
Location Address1295 HEMBREE RD STE 200Roswell, GA 30076-5721
Mailing Address3436 Colebrook TrlRoswell, GA 30075-2312
Phone(770) 404-6151
Fax(770) 521-2231
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 9, 2018
Last NPPES UpdateOctober 23, 20253 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1215436845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 88747✔ Licensed in FL · UO6319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1295 HEMBREE RD STE 200, Roswell, GA 30076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Radhika Patel Do 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 ID42601544
PECOS Enrollment IDI20211216001836
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.

Medicare Billing Reassignment

Medicare enrollment records show Radhika Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Isis Obstetrics & Gynecology, LLC
1.1 mi
Obstetrics & Gynecology
401 S MAIN ST, SUITE B8
Alpharetta, GA 30004
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1881768463 (770) 521-2229

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 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

REAGAN MEDICAL CENTER
Neurological Surgery
1295 HEMBREE RD STE 200
ROSWELL, GA 30076
Fulton County (678) 344-8700

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 Radhika Patel's NPI number?

The NPI number for Radhika Patel is 1215436845. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Where is Radhika Patel located?

Radhika Patel practices at 1295 Hembree Rd Ste 200, Roswell, GA 30076. The listed phone number is (770) 404-6151.

What is Radhika Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Radhika Patel enrolled in Medicare?

Yes. Radhika 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 organization bills Medicare for Radhika Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radhika Patel reassigns Medicare benefits to Isis Obstetrics & Gynecology, LLC (Alpharetta, GA). The 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 Radhika Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Radhika Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Radhika 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 Radhika Patel was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.