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ISHANI KIRANKUMAR PATEL MD
NPI 1245812569
Family Medicine in Mcdonough, GA

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
101 REGENCY PARK DR STE 110, MCDONOUGH, GA 30253(404) 996-0126(678) 432-2626 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2026, Dec 5, 2025, Apr 26, 2021 (3 updates tracked since 2021).

About Ishani Kirankumar Patel Md NPPES

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

ISHANI KIRANKUMAR PATEL MD (NPI 1245812569) is an individual family medicine provider in Mcdonough, Georgia, licensed in Georgia (112627) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245812569
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameISHANI KIRANKUMAR PATELCredential: MD
Location Address101 REGENCY PARK DR STE 110Mcdonough, GA 30253-7076
Mailing Address101 Regency Park Dr Ste 110Mcdonough, GA 30253-7076 · (404) 996-0126 · Fax (678) 432-2626
Phone(404) 996-0126
Fax(678) 432-2626
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2021
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1245812569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 112627✔ Licensed in NJ · 25MA12781400
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 REGENCY PARK DR STE 110, Mcdonough, GA 30253
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar 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

Ishani Kirankumar Patel Md 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 ID7214339167
PECOS Enrollment IDI20251213000147, I20260702000884
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

2

Medicare enrollment records show Ishani Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstreet Of Georgia PC
31 mi
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1235411547 (770) 502-2121
Rwjbh Primary Care Services
743 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30253 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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 7

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

WELLSTREET OF GEORGIA PC
Non-Pharmacy Dispensing Site
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126
STACEY TSITSILIANOS FNP-C, ENP-C
Nurse Practitioner (Family)
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126
DAPHENE SMITH PA
Physician Assistant
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126
DANIELLA MULLER-BOONE MMS, PA-C
Physician Assistant
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126
CHELSEA HALPIN LEE FNP-C
Nurse Practitioner (Family)
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126
BRIANA ADKINS
Nurse Practitioner (Family)
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126
PROF. JOHN MARK LIDELL M.M.SC. , PA-C
Physician Assistant
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 30253
Henry County (404) 996-0126

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 Ishani Patel's NPI number?

The NPI number for Ishani Patel is 1245812569. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Ishani Patel located?

Ishani Patel practices at 101 Regency Park Dr Ste 110, Mcdonough, GA 30253. The listed phone number is (404) 996-0126.

What is Ishani Patel's specialty?

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

Is Ishani Patel enrolled in Medicare?

Yes. Ishani 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 Ishani Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ishani Patel reassigns Medicare benefits to 2 organizations: Wellstreet Of Georgia PC (Newnan, GA) and Rwjbh Primary Care Services (West Orange, NJ). 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 Ishani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ishani Patel accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Ishani 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.

When was this NPI record last updated?

The NPPES record for Ishani Patel was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.