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HARSHANA PATEL DO
NPI 1255835260
Internal Medicine in Southbury, CT

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
22 OLD WATERBURY RD, SOUTHBURY, CT 06488(203) 267-4200 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Mar 23, 2018 (2 updates tracked since 2018).

About Harshana Patel Do NPPES

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

HARSHANA PATEL DO (NPI 1255835260) is an individual internal medicine provider in Southbury, Connecticut, licensed in Connecticut (75565) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1255835260
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHARSHANA PATELCredential: DO
Location Address22 OLD WATERBURY RDSouthbury, CT 06488-3848
Mailing Address22 Old Waterbury RdSouthbury, CT 06488-3848
Phone(203) 267-4200
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1255835260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 75565
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22 OLD WATERBURY RD, Southbury, CT 06488
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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

Harshana Patel Do 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 ID2163876053
PECOS Enrollment IDI20230926003516
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
492 services324 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

DR. AGATA JASKIEWICZ-POZNANSKA M.D.
Family Medicine
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4200
DR. CATHERINE G WINKLER PHD, MPH, APRN
Nurse Practitioner (Adult Health)
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4200
KATELYN ELAINE REYNOLDS APRN
Nurse Practitioner (Family)
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (475) 289-4827
DR. FITZHUGH C PANNILL III M.D.
Internal Medicine (Geriatric Medicine)
22 OLD WATERBURY RD, SUITE 201
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-6503
LALAINE MORTERA M.D.
Pediatrics
22 OLD WATERBURY RD, SUITE 204
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4250
KRISTEN L VELSMID APRN
Nurse Practitioner
22 OLD WATERBURY RD, SUITE 203
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4220
DR. IRA D MICKENBERG M.D.
Internal Medicine (Infectious Disease)
22 OLD WATERBURY RD, SUITE 201
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-6503
MS. LINDA EGLIT APRN
Nurse Practitioner (Gerontology)
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4200

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 Harshana Patel's NPI number?

The NPI number for Harshana Patel is 1255835260. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Harshana Patel located?

Harshana Patel practices at 22 Old Waterbury Rd, Southbury, CT 06488. The listed phone number is (203) 267-4200.

What is Harshana Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Harshana Patel enrolled in Medicare?

Yes. Harshana 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.

When was this NPI record last updated?

The NPPES record for Harshana Patel was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.