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VAIBHAVIBEN PATEL
NPI 1245865609
Nurse Practitioner in Burke, VA

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment
5774 BURKE TOWNE CT, BURKE, VA 22015(443) 799-9793 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 19, 2020, Mar 5, 2020 (2 updates tracked since 2020).

About Vaibhaviben Patel NPPES

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

VAIBHAVIBEN PATEL (NPI 1245865609) is an individual nurse practitioner in Burke, Virginia, licensed in Virginia (0024179437) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Stonesprings Hospital Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245865609
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVAIBHAVIBEN PATEL
Location Address5774 BURKE TOWNE CTBurke, VA 22015-3136
Mailing Address5774 Burke Towne CtBurke, VA 22015-3136
Phone(443) 799-9793
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2020
Last NPPES UpdateJune 19, 20202 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1245865609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024179437
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001218099 (VA)
5774 BURKE TOWNE CT, Burke, VA 22015
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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

Vaibhaviben 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 ID7517309453
PECOS Enrollment IDI20240523002957, I20250307001323
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
242 services89 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
132 services69 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
89 services51 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
40 services40 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA
OwnershipProprietary
CMS Certification Number490145
Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22015 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.

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 Vaibhaviben Patel's NPI number?

The NPI number for Vaibhaviben Patel is 1245865609. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Vaibhaviben Patel located?

Vaibhaviben Patel practices at 5774 Burke Towne Ct, Burke, VA 22015. The listed phone number is (443) 799-9793.

What is Vaibhaviben Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vaibhaviben Patel enrolled in Medicare?

Yes. Vaibhaviben 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.

Is Vaibhaviben Patel affiliated with any hospitals?

According to CMS data, Vaibhaviben Patel is affiliated with Stonesprings Hospital Center.

When was this NPI record last updated?

The NPPES record for Vaibhaviben Patel was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.