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DR. TRUPTIBEN PATEL M.D.
NPI 1275067225
Hospitalist in Washington, DC

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
2041 GEORGIA AVE NW, WASHINGTON, DC 20060(202) 865-7151(202) 865-1773 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2023, Nov 30, 2022, Apr 23, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Truptiben Patel M.d. NPPES

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

DR. TRUPTIBEN PATEL M.D. (NPI 1275067225) is an individual hospitalist provider in Washington, District Of Columbia, licensed in Indiana (01084582A) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275067225
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. TRUPTIBEN PATELCredential: M.D.
Location Address2041 GEORGIA AVE NWWashington, DC 20060-0001
Mailing Address2640 Hamstrom RdPortage, IN 46368-3832 · (219) 762-4423
Phone(202) 865-7151
Fax(202) 865-1773
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 17, 2017
Last NPPES UpdateSeptember 7, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1275067225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IN · 01084582A
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 ListedFamily MedicineTaxonomy 207Q00000X · License 01084582A (IN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 01084582A (IN)
2041 GEORGIA AVE NW, Washington, DC 20060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Truptiben 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 ID9931517257
PECOS Enrollment IDI20210426001184
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 Truptiben Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians PC
520 mi
Hospitalist
5215 HOLY CROSS PKWY
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 228 clinicians in this Medicare group
NPI 1528885951 (574) 335-2443
Southlake Community Mental Health Center, Inc
574 mi
Rehabilitation, Substance Use Disorder
8555 TAFT ST
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 25 clinicians in this Medicare group
NPI 1366942518 (219) 769-4500
Sun Health Group Inc
582 mi
Family Medicine
618 SHANNON BRG
Dyer, IN 46311
  • Reassigned Medicare billing, Indiana enrollment
NPI 1033937313 (732) 335-6515

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 7

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
714 services257 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.
282 services266 patients
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.
264 services108 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.
139 services138 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
126 services119 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services31 patients

Hospital Affiliations CMS Care Compare 2

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20060 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

SHERYL JACOB DESBORDES
Speech-Language Pathologist
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-4424
DR. SAIMA M QURESHI M.D.
Ophthalmology
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-6100
DR. MICHAEL CHOI DDS
Dentist (Oral and Maxillofacial Surgery)
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (646) 239-7552
MUHAMMAD MAAZ KHALID ZUBERI MBBS
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW, WASHINGTON, DC
WASHINGTON, DC 20060
District of Columbia (202) 865-7151
AKINOLA EMMANUEL OLADIMEJI
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (646) 626-3940
NICKALOUS TREVINO
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-6100
AUGUSTINA ADARKU ANADOR
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-4359
JAYA SINGH PERERA MD
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (240) 246-5647

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 Truptiben Patel's NPI number?

The NPI number for Truptiben Patel is 1275067225. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Truptiben Patel located?

Truptiben Patel practices at 2041 Georgia Ave NW, Washington, DC 20060. The listed phone number is (202) 865-7151.

What is Truptiben Patel's specialty?

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

Is Truptiben Patel enrolled in Medicare?

Yes. Truptiben 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 Truptiben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Truptiben Patel reassigns Medicare benefits to 3 organizations: Galen Inpatient Physicians PC (Mishawaka, IN), Southlake Community Mental Health Center, Inc (Merrillville, IN) and Sun Health Group Inc (Dyer, IN). 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 Truptiben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Truptiben Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Truptiben 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 Truptiben Patel affiliated with any hospitals?

According to CMS data, Truptiben Patel is affiliated with St Catherine Hospital Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Truptiben Patel was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.