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DR. MEGHNA M PATEL D.O.
NPI 1295097376
Neuromusculoskeletal Medicine & OMM in Philadelphia, PA

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
4190 CITY AVE STE 320, PHILADELPHIA, PA 19131(215) 871-6425 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Oct 13, 2020, Oct 31, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Meghna M Patel D.o. NPPES

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

DR. MEGHNA M PATEL D.O. (NPI 1295097376) is an individual neuromusculoskeletal medicine & omm provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS018203) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295097376
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. MEGHNA M PATELCredential: D.O.
Location Address4190 CITY AVE STE 320Philadelphia, PA 19131-1633
Mailing AddressPo Box 22383New York, NY 10087-2383 · (215) 871-6562
Phone(215) 871-6425
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateJuly 11, 20254 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1295097376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in PA · OS018203
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedPediatricsTaxonomy 208000000X · License 278717 (NY)
4190 CITY AVE STE 320, Philadelphia, PA 19131
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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 Health, Ambetter Health of Delaware.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. Meghna M Patel D.o. 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 ID1759682024
PECOS Enrollment IDI20170719002401
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

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.
99 services11 patients

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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.4
Promoting Interoperability62
Improvement Activities40
Cost68.85

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 Meghna Patel's NPI number?

The NPI number for Meghna Patel is 1295097376. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Meghna Patel located?

Meghna Patel practices at 4190 City Ave Ste 320, Philadelphia, PA 19131. The listed phone number is (215) 871-6425.

What is Meghna Patel's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Meghna Patel enrolled in Medicare?

Yes. Meghna 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 Meghna Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Meghna 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.

When was this NPI record last updated?

The NPPES record for Meghna Patel was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.