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RIDDHI PATEL PA-C
NPI 1265213169
Physician Assistant in Harrogate, TN

Active since October 09, 2023PECOS EnrolledAccepts Medicare Assignment
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752(423) 869-3611 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2024, Oct 9, 2023 (2 updates tracked since 2023).

About Riddhi Patel Pa-c NPPES

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

RIDDHI PATEL PA-C (NPI 1265213169) is an individual physician assistant in Harrogate, Tennessee, licensed in Utah (13628939-1206) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2023).

NPPES Registry Identity

NPI1265213169
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRIDDHI PATELCredential: PA-C
Location Address6965 CUMBERLAND GAP PKWYHarrogate, TN 37752-8245
Mailing Address1685 Bates RdAlpharetta, GA 30009-3155 · (440) 361-0208
Phone(423) 869-3611
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2023
Enumeration DateOctober 9, 2023
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1265213169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 13628939-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6965 CUMBERLAND GAP PKWY, Harrogate, TN 37752
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Riddhi Patel Pa-c 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 ID8224472766
PECOS Enrollment IDI20240222004158
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37752 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

DANIEL RAYMOND WOOD
Registered Nurse
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
PAULA ARCHER DO
Neuromusculoskeletal Medicine & OMM
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7447
JEROD K WILLIAMS
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-6723
MELANIE AHART PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7200
LAUREN CONTRERAS PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (323) 527-7525
RANDI MICHELLE JOHNSON PA
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3600
CHRISTOPHER FRALEY
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
EMILIE FRANCOIS
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (256) 431-8890

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 Riddhi Patel's NPI number?

The NPI number for Riddhi Patel is 1265213169. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Riddhi Patel located?

Riddhi Patel practices at 6965 Cumberland Gap Pkwy, Harrogate, TN 37752. The listed phone number is (423) 869-3611.

What is Riddhi Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Riddhi Patel enrolled in Medicare?

Yes. Riddhi 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 Riddhi Patel accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Riddhi 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.

When was this NPI record last updated?

The NPPES record for Riddhi Patel was last updated on April 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.