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MAYANK PATEL M.D.
NPI 1235558594
Family Medicine in Gaithersburg, MD

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
655 WATKINS MILL RD, GAITHERSBURG, MD 20879(844) 549-0597 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2021, Mar 17, 2018, Oct 17, 2017 (3 updates tracked since 2017).

About Mayank Patel M.d. NPPES

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

MAYANK PATEL M.D. (NPI 1235558594) is an individual family medicine provider in Gaithersburg, Maryland, licensed in Maryland (D0084115) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1235558594
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMAYANK PATELCredential: M.D.
Location Address655 WATKINS MILL RDGaithersburg, MD 20879-3301
Mailing Address2101 E Jefferson St Ste 6wRockville, MD 20852-4908 · (301) 816-5853
Phone(844) 549-0597
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1235558594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0084115
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
655 WATKINS MILL RD, Gaithersburg, MD 20879
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Secondary Practice Location 1

Location 175 W Red Bank AveWoodbury, NJ 08096-1694 · Phone (856) 853-2168 · Fax (856) 848-2879

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Mayank 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 ID7315205770
PECOS Enrollment IDI20240311001018
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 Reassignment

Medicare enrollment records show Mayank Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emerson Practice Associates, Inc.
382 mi
Internal Medicine
133 OLD ROAD TO NINE ACRE CORNER
Concord, MA 01742
  • Reassigned Medicare billing, Massachusetts enrollment
  • 451 clinicians in this Medicare group
NPI 1508020199 (978) 287-3022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.
75 services60 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.
46 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 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.
14 services14 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.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20879 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

DR. ESTHER SHINYOUNG SONG M.D.
Pediatrics
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4000
DR. VICTOR DAVID ELLIS III MD
Student in an Organized Health Care Education/Training Program
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4000
DR. PETER JAN BLUVAS JR. M.D.
Emergency Medicine
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (406) 324-2242
YOGESH PARUTHI
Pharmacist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4155
ILYSSA KAREN HAAR RN, IBCLC, BSN
Registered Nurse (Lactation Consultant)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4333
HAOBO ZHOU MD
General Acute Care Hospital
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4075
MR. SCOTT ERIC JACKSON RT(R)(CT)
Radiologic Technologist (Computed Tomography)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4418
KATIE MARIE ESSER
Audiologist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4000

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 Mayank Patel's NPI number?

The NPI number for Mayank Patel is 1235558594. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Mayank Patel located?

Mayank Patel practices at 655 Watkins Mill Rd, Gaithersburg, MD 20879. The listed phone number is (844) 549-0597.

What is Mayank Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mayank Patel enrolled in Medicare?

Yes. Mayank 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 organization bills Medicare for Mayank Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayank Patel reassigns Medicare benefits to Emerson Practice Associates, Inc. (Concord, MA). The 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 Mayank Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayank Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Mayank 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 Mayank Patel affiliated with any hospitals?

According to CMS data, Mayank Patel is affiliated with Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary - and Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Mayank Patel was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.