NEIL D PATEL M.D.
NPI 1225448178
Internal Medicine in Alpharetta, GA

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
401 S MAIN ST, SUITE A4, ALPHARETTA, GA 30009(678) 570-2585 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2017, Jan 22, 2017 (2 updates tracked since 2017).

About Neil D Patel M.d. NPPES

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

NEIL D PATEL M.D. (NPI 1225448178) is an individual internal medicine provider in Alpharetta, Georgia, licensed in Georgia (076881) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2014).

NPPES Registry Identity

NPI1225448178
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEIL D PATELCredential: M.D.
Location Address401 S MAIN ST, SUITE A4Alpharetta, GA 30009-1974
Mailing Address5455 Chelsen Wood DrJohns Creek, GA 30097-2436
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2014
Enumeration DateApril 30, 2014
Last NPPES UpdateJuly 21, 20172 updates tracked since enumeration
NPI 1225448178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 076881
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

401 S MAIN ST, Alpharetta, GA 30009

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

Neil D 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 ID8628334562
PECOS Enrollment IDI20171109002904
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
136 services67 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.
121 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services30 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
35 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton 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 30009 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%67 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims41 services$4.60 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 13

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

Pediatrics
401 S MAIN ST, SUITE C5
ALPHARETTA, GA 30009
Internal Medicine
401 S MAIN ST, SUITE A 4
ALPHARETTA, GA 30009
Obstetrics & Gynecology (Obstetrics)
401 S MAIN ST, SUITE B-8
ALPHARETTA, GA 30009
Internal Medicine
401 S MAIN ST, SUITE A-4
ALPHARETTA, GA 30009
Pediatrics
401 S MAIN ST, SUITE C5
ALPHARETTA, GA 30009
Podiatrist (Foot & Ankle Surgery)
401 S MAIN ST, UNIT A-1
ALPHARETTA, GA 30009
Podiatrist (Foot & Ankle Surgery)
401 S MAIN ST, UNIT A-1
ALPHARETTA, GA 30009
Clinic/Center (Primary Care)
401 S MAIN ST, SUITE B3
ALPHARETTA, GA 30009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225448178, enumerated as an "individual" on April 30, 2014.

The provider is located at 401 S MAIN ST SUITE A4 ALPHARETTA, GA 30009 and the phone number is (678) 570-2585.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.

Neil Patel is affiliated with: NORTHSIDE HOSPITAL and WELLSTAR NORTH FULTON HOSPITAL.