DR. ARTI PATEL DO
NPI 1255991907
Hospitalist in Burlington, WI

Active since June 15, 2019PECOS EnrolledAccepts Medicare Assignment
252 MCHENRY ST, BURLINGTON, WI 53105(262) 767-6000 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Aug 12, 2022, Oct 21, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Arti Patel Do NPPES

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

DR. ARTI PATEL DO (NPI 1255991907) is an individual hospitalist provider in Burlington, Wisconsin, licensed in Wisconsin (81557) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1255991907
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. ARTI PATELCredential: DO
Location Address252 MCHENRY STBurlington, WI 53105-1828
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2019
Enumeration DateJune 15, 2019
Last NPPES UpdateNovember 4, 20245 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1255991907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in WI · 81557 Licensed in PA · OS021237
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
252 MCHENRY ST, Burlington, WI 53105

Secondary Practice Location 1

Location 11200 S Cedar Crest BlvdAllentown, PA 18103-6202 · Phone (484) 862-3232

Other Identifiers 2

Medicaid100284100WI
OtherOT019230PA · Pennsylvania Department Of State

Accepted Insurance

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

Dr. Arti 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 ID5294167540
PECOS Enrollment IDI20240814003400
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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
148 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
122 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
106 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services72 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Physical Therapy Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Hospitalist
252 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Anesthesiology
252 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Emergency Medicine (Emergency Medical Services)
252 MCHENRY ST
BURLINGTON, WI 53105
Physician Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Emergency Medicine
252 MCHENRY ST
BURLINGTON, WI 53105

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 Arti Patel's NPI number?

The NPI number for Arti Patel is 1255991907. It was assigned to this individual provider in the NPPES registry on June 15, 2019.

Where is Arti Patel located?

Arti Patel practices at 252 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-6000.

What is Arti Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Arti Patel enrolled in Medicare?

Yes. Arti 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.

What insurance does Arti Patel accept?

Health plans from CareSource (Common Ground Healthcare) list Arti 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 Arti Patel affiliated with any hospitals?

According to CMS data, Arti Patel is affiliated with Paoli Hospital, Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Arti Patel was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.