DR. MIRAL PATEL MD
NPI 1285049536
Family Medicine in Braselton, GA

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
1515 RIVER PL STE 100, BRASELTON, GA 30517(770) 848-6195 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, Jan 22, 2019, Nov 10, 2016 (3 updates tracked since 2016).

About Dr. Miral Patel Md NPPES

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

DR. MIRAL PATEL MD (NPI 1285049536) is an individual family medicine provider in Braselton, Georgia, licensed in Georgia (89590) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1285049536
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIRAL PATELCredential: MD
Location Address1515 RIVER PL STE 100Braselton, GA 30517-5610
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2014
Last NPPES UpdateJune 1, 20223 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
NPI 1285049536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 89590 Licensed in IL · 036143767
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1515 RIVER PL STE 100, Braselton, GA 30517

Secondary Practice Location 1

Location 19977 Woods Dr Fl 1Skokie, IL 60077-1057 · Phone (224) 364-2273 · Fax (847) 663-8290

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. Miral Patel Md 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 ID8527361237
PECOS Enrollment IDI20220608001727
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services51 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
50 services49 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services26 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30517 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

Other Providers at the Same Location NPPES 14

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

Family Medicine
1515 RIVER PL STE 100
BRASELTON, GA 30517
Nurse Practitioner (Family)
1515 RIVER PL STE 100
BRASELTON, GA 30517
Nurse Practitioner (Family)
1515 RIVER PL STE 100
BRASELTON, GA 30517
Physician Assistant
1515 RIVER PL STE 100
BRASELTON, GA 30517
Nurse Practitioner (Family)
1515 RIVER PL STE 100
BRASELTON, GA 30517
Family Medicine
1515 RIVER PL STE 100
BRASELTON, GA 30517
Nurse Practitioner (Family)
1515 RIVER PL STE 100
BRASELTON, GA 30517
Clinic/Center (Urgent Care)
1515 RIVER PL STE 100
BRASELTON, GA 30517

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 Miral Patel's NPI number?

The NPI number for Miral Patel is 1285049536. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Miral Patel located?

Miral Patel practices at 1515 River Pl Ste 100, Braselton, GA 30517. The listed phone number is (770) 848-6195.

What is Miral Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miral Patel enrolled in Medicare?

Yes. Miral 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 Miral Patel accept?

Health plans from Alliant Health Plans, Inc. list Miral 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 Miral Patel affiliated with any hospitals?

According to CMS data, Miral Patel is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Miral Patel was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.