DR. ALPA VINUBHAI PATEL M.D.
NPI 1265669816
Internal Medicine in Abington, PA

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
1200 OLD YORK RD, ABINGTON, PA 19001(215) 481-2606 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alpa Vinubhai Patel M.d. NPPES

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

DR. ALPA VINUBHAI PATEL M.D. (NPI 1265669816) is an individual internal medicine provider in Abington, Pennsylvania, licensed in Pennsylvania (MT194458) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Temple University School Of Medicine (2009).

NPPES Registry Identity

NPI1265669816
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALPA VINUBHAI PATELCredential: M.D.
Location Address1200 OLD YORK RDAbington, PA 19001-3720
Mailing Address5411 Mcgrath Blvd, Apt # 920North Bethesda, MD 20852-8617
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateDecember 4, 2012
NPI 1265669816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MT194458
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.

1200 OLD YORK RD, Abington, PA 19001

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. Alpa Vinubhai 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 ID3375797285
PECOS Enrollment IDI20130130000365
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.

Hospital Affiliations CMS Care Compare

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%175 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Obstetrics & Gynecology
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine
1200 OLD YORK RD, SUITE 2B
ARINGTON, PA 19001
Nurse Practitioner (Acute Care)
1200 OLD YORK RD
ABINGTON, PA 19001
Student in an Organized Health Care Education/Training Program
1200 OLD YORK RD
ABINGTON, PA 19001
Surgery (Vascular Surgery)
1200 OLD YORK RD
ABINGTON, PA 19001
Psychiatry & Neurology (Neurology)
1200 OLD YORK RD, 5 TOLL
ABINGTON, PA 19001
Emergency Medicine
1200 OLD YORK RD
ABINGTON, PA 19001

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 Alpa Patel's NPI number?

The NPI number for Alpa Patel is 1265669816. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Alpa Patel located?

Alpa Patel practices at 1200 Old York Rd, Abington, PA 19001. The listed phone number is (215) 481-2606.

What is Alpa Patel's specialty?

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

Is Alpa Patel enrolled in Medicare?

Yes. Alpa 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 Alpa Patel accept?

Health plans from Molina Healthcare list Alpa 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 Alpa Patel affiliated with any hospitals?

According to CMS data, Alpa Patel is affiliated with Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Alpa Patel was last updated on December 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.