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MADHURI PATEL
NPI 1235022336
Nurse Practitioner - Family in Marietta, GA

Active since May 29, 2025PECOS EnrolledAccepts Medicare Assignment
3905 DUE WEST RD NW, MARIETTA, GA 30064(678) 290-5740 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2025, May 29, 2025 (2 updates tracked since 2025).

About Madhuri Patel NPPES

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

MADHURI PATEL (NPI 1235022336) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN330022) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235022336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADHURI PATEL
Location Address3905 DUE WEST RD NWMarietta, GA 30064-1019
Mailing Address3905 Due West Rd NwMarietta, GA 30064-1019 · (678) 290-5740
Phone(678) 290-5740
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 29, 2025
Last NPPES UpdateJune 8, 20252 updates tracked since enumeration
NPPES CertifiedJune 8, 2025
✔ NPI 1235022336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN330022
3905 DUE WEST RD NW, Marietta, GA 30064
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).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

Madhuri Patel 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 ID2062925621
PECOS Enrollment IDI20250627002099
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 Reassignments

2

Medicare enrollment records show Madhuri Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic LLC
545 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727
Primary Care PLLC
685 mi
Family
24802 ALDINE WESTFIELD RD
Spring, TX 77373
  • Reassigned Medicare billing, Georgia enrollment
  • 113 clinicians in this Medicare group
NPI 1770354763 (866) 389-2727

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 30064 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 19

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

MR. KEN RAMEY R.PH
Pharmacist
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (678) 290-5740
MAGALY WONG
Pharmacist
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (167) 829-0574
MR. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
Physician Assistant
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (866) 389-2727
YVONNE YVETTE AMSTUTZ ARNP
Nurse Practitioner (Family)
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (866) 389-2727
CHIOMA ENEREMADU
Pharmacist
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (678) 290-5740
DHARA PATEL
Pharmacist
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (678) 290-5740
MS. LINDA ADAEZE NWADIKE MSN, FNP-BC
Nurse Practitioner (Family)
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (678) 290-5740
NIMRA SAEED
Pharmacist
3905 DUE WEST RD NW
MARIETTA, GA 30064
Cobb County (167) 829-0574

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 Madhuri Patel's NPI number?

The NPI number for Madhuri Patel is 1235022336. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Madhuri Patel located?

Madhuri Patel practices at 3905 Due West Rd NW, Marietta, GA 30064. The listed phone number is (678) 290-5740.

What is Madhuri Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madhuri Patel enrolled in Medicare?

Yes. Madhuri 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 organizations bill Medicare for Madhuri Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhuri Patel reassigns Medicare benefits to 2 organizations: Minuteclinic LLC (Rockville, MD) and Primary Care PLLC (Spring, TX). Each 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 Madhuri Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhuri Patel accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Madhuri 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 Madhuri Patel was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.