RAJEN PATEL M.D.
NPI 1285861443
Family Medicine in Apopka, FL

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
515 WEKIVA COMMONS CIR, APOPKA, FL 32712(407) 464-9516(407) 464-9519 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 12, 2023, Nov 25, 2022, Jul 3, 2017 (3 updates tracked since 2017).

About Rajen Patel M.d. NPPES

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

RAJEN PATEL M.D. (NPI 1285861443) is an individual family medicine provider in Apopka, Florida, licensed in Florida (ME117752) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1285861443
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAJEN PATELCredential: M.D.
Location Address515 WEKIVA COMMONS CIRApopka, FL 32712-3645
Mailing Address515 Wekiva Commons CirApopka, FL 32712-3645 · (407) 464-9516 · Fax (407) 464-9519
Fax(407) 464-9519
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
NPI 1285861443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME117752 Licensed in NC · 2012-01393
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.
Also ListedHospitalistTaxonomy 208M00000X · License ME117752 (FL)
515 WEKIVA COMMONS CIR, Apopka, FL 32712

Secondary Practice Location 1

Location 110129 Clear Vista StOrlando, FL 32832-7164 · Phone (833) 633-6331 · Fax (833) 673-0418

Other Identifiers 1

OtherQO574FL · Hfmg Ma

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

Rajen 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 ID2961659073
PECOS Enrollment IDI20131227001408
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 4

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 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.
238 services110 patients
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.
104 services64 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.
87 services86 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.
75 services74 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32712 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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.

Nurse Practitioner (Family)
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Nurse Practitioner (Family)
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Nurse Practitioner (Adult Health)
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712

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 Rajen Patel's NPI number?

The NPI number for Rajen Patel is 1285861443. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Rajen Patel located?

Rajen Patel practices at 515 Wekiva Commons Cir, Apopka, FL 32712. The listed phone number is (407) 464-9516.

What is Rajen Patel's specialty?

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

Is Rajen Patel enrolled in Medicare?

Yes. Rajen 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 Rajen Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 1 other insurer list Rajen 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 Rajen Patel affiliated with any hospitals?

According to CMS data, Rajen Patel is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Rajen Patel was last updated on April 12, 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.