PAYAL SHAILESH PATEL M.D.
NPI 1245762822
Internal Medicine - Critical Care Medicine in Atlanta, GA

Q: What is Payal Patel's NPI number?

The NPI number for Payal Patel is 1245762822. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Q: What is Payal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment

960 JOHNSON FERRY RD STE 500, ATLANTA, GA 30342(404) 257-0006(404) 851-1316 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Sep 30, 2021, Oct 14, 2020 and 2 more (5 updates tracked since 2017).

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About Payal Shailesh Patel M.d. NPPES

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

PAYAL SHAILESH PATEL M.D. (NPI 1245762822) is an individual critical care medicine provider in Atlanta, Georgia, licensed in Georgia (85763) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245762822

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NamePAYAL SHAILESH PATELCredential: M.D.

Location Address960 JOHNSON FERRY RD STE 500Atlanta, GA 30342-1630

Mailing Address960 Johnson Ferry Rd Ste 500Atlanta, GA 30342-1630 · (404) 257-0006 · Fax (404) 851-1316

Phone(404) 257-0006

Fax(404) 851-1316

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 1, 2017

Last NPPES UpdateMay 6, 20265 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1245762822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in GA · 85763

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

960 JOHNSON FERRY RD STE 500, Atlanta, GA 30342

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Payal Shailesh 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 ID9133499486

PECOS Enrollment IDI20211111000087

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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services16 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

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Other Providers at the Same Location NPPES 14

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

MRS. LASONJA S REEVES P.A.-C

Physician Assistant (Medical)