MR. SANJAY PRAFULL PATEL
NPI 1235484163
Anesthesiologist Assistant in Atlanta, GA

Active since July 17, 2012Accepts Medicare Assignment
91.6/100
CMS Quality Rating
80 JESSE HILL JR DR SE, GRADY HEALTH SYSTEM, ATLANTA, GA 30303(404) 616-5519 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2019, May 27, 2019 (2 updates tracked since 2019).

About Mr. Sanjay Prafull Patel NPPES

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

MR. SANJAY PRAFULL PATEL (NPI 1235484163) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (6547) and active in the NPI registry since July 2012. He is affiliated with Emory University Hospital Midtown and is a graduate of Emory University School Of Medicine (2012).

NPPES Registry Identity

NPI1235484163
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. SANJAY PRAFULL PATEL
Location Address80 JESSE HILL JR DR SE, GRADY HEALTH SYSTEMAtlanta, GA 30303-3031
Mailing Address195 14th St Ne, Suite 303Atlanta, GA 30309-2671
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2012
Enumeration DateJuly 17, 2012
Last NPPES UpdateJune 13, 20192 updates tracked since enumeration
NPI 1235484163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in GA · 6547
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
80 JESSE HILL JR DR SE, Atlanta, GA 30303

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

Mr. Sanjay Prafull 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 ID9931359916
PECOS Enrollment IDI20130425000075

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Sanjay Patel's NPI number?

The NPI number for Sanjay Patel is 1235484163. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Sanjay Patel located?

Sanjay Patel practices at 80 Jesse Hill Jr Dr SE Grady Health System, Atlanta, GA 30303. The listed phone number is (404) 616-5519.

What is Sanjay Patel's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Sanjay Patel enrolled in Medicare?

Yes. Sanjay 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 Sanjay Patel accept?

Health plans from Oscar Insurance Company list Sanjay 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 Sanjay Patel affiliated with any hospitals?

According to CMS data, Sanjay Patel is affiliated with Emory University Hospital Midtown and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Patel was last updated on June 13, 2019. 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.