DR. NIRAJ PATEL D.O.
NPI 1255726865
Family Medicine in Atlanta, GA
NPI Status: Active since March 31, 2015
Contact Information
2870 PEACHTREE RD NW # 915-1643
ATLANTA, GA
ZIP 30305
Phone: (347) 709-4042
- Individual
- Male
- Family Medicine
- Accepts Insurance
About NIRAJ PATEL
This page provides the complete NPI Profile along with additional information for Niraj Patel, a primary care provider established in Atlanta, Georgia with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1255726865 assigned on March 2015. The practitioner's primary taxonomy code is 207Q00000X with license number 85586 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1255726865
- Provider Name
- DR. NIRAJ PATEL D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2870 PEACHTREE RD NW # 915-1643 ATLANTA, GA 30305
- Location Phone
- (347) 709-4042
- Mailing Address
- 2870 PEACHTREE RD NW # 915-1643 ATLANTA, GA 30305
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-31-2015
- Last Update Date
- 03-25-2025
- Code Navigator
A primary care provider (PCP) like Niraj Patel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 85586
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | S0969 (TX) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | DR.0063414 (CO) |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 65798 (CT) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | DO034954 (DC) |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | OS16529 (FL) |
| 6 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 18511 (CA) |
| 7 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 2169 (AL) |
| 8 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | E-13264 (AR) |
| 9 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 149901 (AK) |
| 10 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 008542 (AZ) |
| 11 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 036.151580 (IL) |
| 12 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | DOS2024 (HI) |
| 13 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | OC-0067 (ID) |
| 14 | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | S0969 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple Chronic Care CKM - EPO
- Gold Classic Standard - EPO
- Gold Simple - EPO
- Silver Classic Standard - EPO
- Silver Simple - EPO
- Silver Simple Chronic Care CKM - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
New patient office or other outpatient visit, 15-29 minutes
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
This service was performed 1,070 times for 267 patientsThis service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
This service was performed 878 times for 276 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 30 times for 30 patientsThis service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
This service was performed 39,362 times for 4,906 patientsRemote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
This service was performed 137 times for 132 patientsThis service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
This service was performed 414 times for 167 patientsReviews for DR. NIRAJ PATEL D.O.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255726865, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255726865, enumerated as an "individual" on March 31, 2015.
The provider is located at 2870 PEACHTREE RD NW # 915-1643 ATLANTA, GA 30305 and the phone number is (347) 709-4042.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. Please consult your insurance carrier or call the provider to verify.
