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MALLIKA PATEL M.D.
NPI 1265057426
Hospitalist in Beloit, WI

Active since June 13, 2020PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
BELOIT HEALTH SYSTEM INC, 1969 W HART ROAD, BELOIT, WI 53511(608) 363-5971(608) 363-5737 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Jul 6, 2023, Jun 13, 2020 (3 updates tracked since 2020).

About Mallika Patel M.d. NPPES

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

MALLIKA PATEL M.D. (NPI 1265057426) is an individual hospitalist provider in Beloit, Wisconsin, licensed in Wisconsin (84248-20) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1265057426
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMALLIKA PATELCredential: M.D.
Location AddressBELOIT HEALTH SYSTEM INC, 1969 W HART ROADBeloit, WI 53511-2230
Mailing AddressBeloit Health System Inc, 1969 W Hart RoadBeloit, WI 53511-2230 · (608) 364-2293 · Fax (608) 364-5525
Phone(608) 363-5971
Fax(608) 363-5737
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 13, 2020
Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1265057426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 84248-20
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 94923 (GA), 11905 (GA)
BELOIT HEALTH SYSTEM INC, Beloit, WI 53511
Open in Google Maps ↗

Secondary Practice Location 1

Location 11459 Laney Walker BlvdAugusta, GA 30912-0002 · Phone (706) 721-2273

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

Mallika Patel M.d. 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 ID6901229897
PECOS Enrollment IDI20241209000789
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.
125 services62 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.
34 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services11 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.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 7

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

BRANDON ALAN PELLETIER M.D.
Hospitalist
BELOIT HEALTH SYSTEM INC, 1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971
DR. INDRAJIT CHOUDHURI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
BELOIT HEALTH SYSTEM INC, 1969 WEST HART ROAD
BELOIT, WI 53511
Rock County (608) 364-5205
DR. JAMES HAZELTON WHELAN DPM
Podiatrist (Foot & Ankle Surgery)
BELOIT HEALTH SYSTEM INC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-1640
SHAWN RENAE SCHENK N.P.
Nurse Practitioner
BELOIT HEALTH SYSTEM INC, 1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971
CYNTHIA J REHBEIN OD
Optometrist
BELOIT HEALTH SYSTEM INC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2293
SANJAY S DESHPANDE M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
BELOIT HEALTH SYSTEM INC, 1969 W. HART RD
BELOIT, WI 53511
Rock County (608) 364-5205
BRIAN D. RITCHER M.D.
Hospitalist
BELOIT HEALTH SYSTEM INC, 1969 W. HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971

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 Mallika Patel's NPI number?

The NPI number for Mallika Patel is 1265057426. It was assigned to this individual provider in the NPPES registry on June 13, 2020.

Where is Mallika Patel located?

Mallika Patel practices at Beloit Health System Inc 1969 W Hart Road, Beloit, WI 53511. The listed phone number is (608) 363-5971.

What is Mallika Patel's specialty?

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

Is Mallika Patel enrolled in Medicare?

Yes. Mallika 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 Mallika Patel affiliated with any hospitals?

According to CMS data, Mallika Patel is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Mallika Patel was last updated on August 2, 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.