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

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: July 26, 2026.

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

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
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

Other Identifiers 3

Other180037467Railroad Medicare
Medicaid006307272VA
Other284169VA · Blue Cross Blue Shield

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. 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.

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

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.

Optometrist
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Ophthalmology
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Optometrist
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Technician/Technologist (Optician)
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Durable Medical Equipment & Medical Supplies
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Ophthalmology
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Specialist
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Ophthalmology
17 N MEDICAL PARK DR
FISHERSVILLE, VA 22939

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 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.

Where is Rachna Patel located?

Rachna Patel practices at 17 N Medical Park Dr, Fishersville, VA 22939. The listed phone number is (540) 213-7720.

What is Rachna Patel's specialty?

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

Is Rachna Patel enrolled in Medicare?

Yes. Rachna 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 Rachna Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Rachna 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.

Is Rachna Patel affiliated with any hospitals?

According to CMS data, Rachna Patel is affiliated with Augusta Health.

When was this NPI record last updated?

The NPPES record for Rachna Patel was last updated on July 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.