AJAY V PATEL
NPI 1235516477
Internal Medicine in Fresno, CA

Active since April 27, 2015PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
45 E RIVER PARK PL W, FRESNO, CA 93720(559) 603-7316 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ajay V Patel NPPES

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

AJAY V PATEL (NPI 1235516477) is an individual internal medicine provider in Fresno, California, licensed in California (150753) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235516477
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAJAY V PATEL
Location Address45 E RIVER PARK PL WFresno, CA 93720-1562
Mailing Address45 E River Park Pl WFresno, CA 93720-1562 · (559) 603-7316
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 27, 2015
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 12, 2022
NPI 1235516477 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 CA · 150753
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.
45 E RIVER PARK PL W, Fresno, CA 93720

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

Ajay V 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 ID8224380670
PECOS Enrollment IDI20181011003031
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
154 services149 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.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

Other Providers at the Same Location NPPES 11

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

Physical Therapist (Neurology)
45 E RIVER PARK PL W
FRESNO, CA 93720
Physician Assistant
45 E RIVER PARK PL W
FRESNO, CA 93720
Internal Medicine
45 E RIVER PARK PL W
FRESNO, CA 93720
Nurse Practitioner (Acute Care)
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Physician Assistant (Surgical)
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Neurological Surgery
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720
Internal Medicine
45 E RIVER PARK PL W
FRESNO, CA 93720
Neurological Surgery
45 E RIVER PARK PL W, SUITE 104
FRESNO, CA 93720

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 Ajay Patel's NPI number?

The NPI number for Ajay Patel is 1235516477. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Ajay Patel located?

Ajay Patel practices at 45 E River Park Pl W, Fresno, CA 93720. The listed phone number is (559) 603-7316.

What is Ajay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ajay Patel enrolled in Medicare?

Yes. Ajay 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.

When was this NPI record last updated?

The NPPES record for Ajay Patel was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.