DR. RACHNA DINUBHAI PATEL MD
NPI 1225031297
Specialist in Fishersville, VA

Q: What is Rachna Patel's NPI number?

The NPI number for Rachna Patel is 1225031297. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Rachna Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Rachna Patel was last updated on July 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.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

17 N MEDICAL PARK DR, FISHERSVILLE, VA 22939(540) 213-7720(540) 213-7729 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2020, Feb 25, 2016 (2 updates tracked since 2016).

On this page

About Dr. Rachna Dinubhai Patel Md NPPES

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

DR. RACHNA DINUBHAI PATEL MD (NPI 1225031297) is an individual specialist in Fishersville, Virginia, licensed in Virginia (0101840518) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Augusta Health, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1225031297

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. RACHNA DINUBHAI PATELCredential: MD

Location Address17 N MEDICAL PARK DRFishersville, VA 22939-2344

Mailing Address17 N Medical Park DrFishersville, VA 22939-2344 · (540) 213-7720 · Fax (540) 213-7729

Phone(540) 213-7720

Fax(540) 213-7729

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 24, 2005

Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration

NPPES CertifiedJuly 8, 2020

✔ NPI 1225031297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101840518

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOphthalmologyTaxonomy 207W00000X · License 0101840518 (VA)

17 N MEDICAL PARK DR, Fishersville, VA 22939

Open in Google Maps ↗

Other Identifiers 3

Other180037467Railroad Medicare

Medicaid006307272VA

Other284169VA · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Dr. Rachna Dinubhai Patel Md 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 ID7810923885

PECOS Enrollment IDI20080429000519

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 Rachna Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye One, Plc

28 mi

Ophthalmology

620 BERKMAR CIR
Charlottesville, VA 22901

Reassigned Medicare billing, Virginia enrollment
Medicare enrollment name: Eyeone Plc
16 clinicians in this Medicare group

NPI 1982613576 (434) 220-3420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,443 services1,395 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

873 services806 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

370 services326 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

354 services269 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

250 services231 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

236 services214 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

210 services150 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

180 services127 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

139 services122 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

101 services101 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

55 services48 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

43 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

26 services20 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

26 services26 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

25 services25 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

23 services23 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

22 services17 patients

Hospital Affiliations CMS Care Compare

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

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

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

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

4 suppliers130 claims130 services$37.56 avg. paid by Medicare

Sphere, single vision, plano to plus or minus 4.00, per lens V2100

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier36 claims71 services$23.99 avg. paid by Medicare

Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier56 claims110 services$42.83 avg. paid by Medicare

Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier107 claims202 services$57.10 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 9

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

DR. DAVID DARNELL SMITH O.D.

Optometrist