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DR. AKIT PATEL M.D.
NPI 1225268071
Internal Medicine - Gastroenterology in Douglasville, GA

Active since July 14, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
6002 PROFESSIONAL PKWY STE 200, DOUGLASVILLE, GA 30134(678) 741-5000(770) 874-0528 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2018, Jun 9, 2017, May 16, 2016 (3 updates tracked since 2016).

About Dr. Akit Patel M.d. NPPES

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

DR. AKIT PATEL M.D. (NPI 1225268071) is an individual gastroenterology provider in Douglasville, Georgia, licensed in Georgia (78134) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225268071
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. AKIT PATELCredential: M.D.
Location Address6002 PROFESSIONAL PKWY STE 200Douglasville, GA 30134
Mailing Address711 Canton Rd Ne Ste 300Marietta, GA 30060-8949 · (678) 741-5000 · Fax (678) 819-4280
Phone(678) 741-5000
Fax(770) 874-0528
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2009
Enumeration DateJuly 14, 2009
Last NPPES UpdateAugust 15, 20183 updates tracked since enumeration
✔ NPI 1225268071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 78134
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10034507 (TX)
6002 PROFESSIONAL PKWY STE 200, Douglasville, GA 30134
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14550 Cobb Parkway North NW Ste 210BAcworth, GA 30101-4182 · Phone (678) 741-5000 · Fax (770) 975-8545
Location 26001 Professional Pkwy Ste 2060Douglasville, GA 30134-5632 · Phone (678) 741-5000 · Fax (770) 874-0528

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Akit Patel M.d. 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 ID6507156833
PECOS Enrollment IDI20171004003294
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services55 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.
80 services65 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
62 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 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.
37 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

SHARI ALADIN
Nurse Practitioner (Family)
6002 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (678) 831-8126
DR. KHADIJAH STEPHEN MD
Student in an Organized Health Care Education/Training Program
6002 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (770) 968-6464
ANISH A DESAI MD
Internal Medicine (Gastroenterology)
6002 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (678) 741-5000

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 Akit Patel's NPI number?

The NPI number for Akit Patel is 1225268071. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Akit Patel located?

Akit Patel practices at 6002 Professional Pkwy Ste 200, Douglasville, GA 30134. The listed phone number is (678) 741-5000.

What is Akit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Akit Patel enrolled in Medicare?

Yes. Akit 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 Akit Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Akit 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 Akit Patel affiliated with any hospitals?

According to CMS data, Akit Patel is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Akit Patel was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.