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: October 18, 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 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

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alpa Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, District of Columbia enrollment
  • 347 clinicians in this Medicare group
Hospitalist
400 W SEVENTH ST
Frederick, MD 21701
  • Reassigned Medicare billing, District of Columbia enrollment
  • 204 clinicians in this Medicare group
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 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.

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.

Which organizations bill Medicare for Alpa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alpa Patel reassigns Medicare benefits to 3 organizations: Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD), Hospitalist Medicine Physicians Of Maryland PC (Frederick, MD) and Emergency Medicine Associates P.A., P.C. (Falls Church, VA). Each 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 Alpa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alpa Patel was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.