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

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: October 18, 2026.

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

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 Health, Oscar Insurance Company.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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Payal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Primary Care Professional Services,llc
0.1 mi
Family Medicine
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 466 clinicians in this Medicare group
NPI 1922397553 (855) 709-4535
Cep America LLC
9.1 mi
Emergency Medicine
2701 N DECATUR RD
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 128 clinicians in this Medicare group
NPI 1215982814 (404) 501-1849
The Bortolazzo Group, LLC
14 mi
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
NPI 1801965082 (770) 732-4000
Georgia Emergency Group, LLC
46 mi
Emergency Medicine
601 S 8TH ST
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1952746638 (770) 874-5400
Lagrange Emergency Physicians, LLC
73 mi
Emergency Medicine
1514 VERNON RD
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 144 clinicians in this Medicare group
NPI 1760437560 (706) 882-1411

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 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.

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)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
KAVITA PAL MD
Internal Medicine (Pulmonary Disease)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
BHAVINI ANIL PATEL MD
Internal Medicine (Hospice and Palliative Medicine)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
MR. MIRZA HAIDER ALI M.D.
Internal Medicine (Pulmonary Disease)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
BRIDGET OGIEMWANYE ARNP
Nurse Practitioner (Acute Care)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
RIKKI CARTER
Nurse Practitioner
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
DR. ANTHONY ADETOLA ODUBANJO M.D.
Internal Medicine (Critical Care Medicine)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
MR. KOLAWOLE OMODAYO ATANDEYI M.D
Internal Medicine (Critical Care Medicine)
960 JOHNSON FERRY RD STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006

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 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.

Where is Payal Patel located?

Payal Patel practices at 960 Johnson Ferry Rd Ste 500, Atlanta, GA 30342. The listed phone number is (404) 257-0006.

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.

Is Payal Patel enrolled in Medicare?

Yes. Payal 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 Payal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Patel reassigns Medicare benefits to 5 organizations: Northside Primary Care Professional Services,llc (Atlanta, GA), Cep America LLC (Decatur, GA), The Bortolazzo Group, LLC (Austell, GA), Georgia Emergency Group, LLC (Griffin, GA) and Lagrange Emergency Physicians, LLC (Lagrange, GA). 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 Payal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Patel accept?

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

According to CMS data, Payal Patel is affiliated with Emory Decatur Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.