MONALI PATEL DO
NPI 1255997920
Internal Medicine in Charlotte, NC
About Monali Patel Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONALI PATEL DO (NPI 1255997920) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2024-02638) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains a secondary practice location in East Windsor.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Monali 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.
Medicare Billing Reassignment
Medicare enrollment records show Monali Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28211
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Monali Patel's NPI number?
The NPI number for Monali Patel is 1255997920. It was assigned to this individual provider in the NPPES registry on May 17, 2019.
Where is Monali Patel located?
Monali Patel practices at 3030 Randolph Rd Ste 200, Charlotte, NC 28211. The listed phone number is (705) 512-5000.
What is Monali Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Monali Patel enrolled in Medicare?
Yes. Monali 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 organization bills Medicare for Monali Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monali Patel reassigns Medicare benefits to Carolinas Physicians Network Inc (Charlotte, NC). The 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 Monali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monali Patel accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Monali 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 Monali Patel affiliated with any hospitals?
According to CMS data, Monali Patel is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Monali Patel was last updated on September 16, 2024. 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.
# Monali Patel, DO · NPI 1255997920
Internal Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since May 17, 2019.
## Identity
- **NPI:** 1255997920 (Entity type: Individual)
- **Enumerated:** May 17, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2024-02638 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 RANDOLPH RD STE 200, Charlotte, NC 28211-1365
- **Phone:** (705) 512-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolinas Physicians Network Inc (NPI 1639425796, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255997920) · Data from the CMS NPPES public registry.