RITA B PATEL M.D., M.P.H.
NPI 1316114275
Internal Medicine - Pulmonary Disease in Saint Paul, MN

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
45 10TH ST W, SAINT PAUL, MN 55102(651) 326-3876(651) 326-3706 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2024, Apr 19, 2018, Aug 26, 2016 (3 updates tracked since 2016).

About Rita B Patel M.d., M.p.h. NPPES

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

RITA B PATEL M.D., M.P.H. (NPI 1316114275) is an individual pulmonary disease provider in Saint Paul, Minnesota, licensed in Minnesota (57290) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in St. Paul.

NPPES Registry Identity

NPI1316114275
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameRITA B PATELCredential: M.D., M.P.H.
Location Address45 10TH ST WSaint Paul, MN 55102-1062
Mailing Address1821 W Capitol AveWest Sacramento, CA 95691-2521 · (650) 471-1166 · Fax (651) 471-2222
Fax(651) 326-3706
Sole ProprietorYes
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2007
Enumeration DateMay 9, 2008
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1316114275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in MN · 57290✔ Licensed in CA · A106381
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A106381 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 57290 (MN), A106381 (CA)
45 10TH ST W, Saint Paul, MN 55102

Secondary Practice Location 1

Location 1559 Capital Blvd, HealthEast Care SystemSt. Paul, MN 55103 · Phone (650) 471-1166 · Fax (651) 471-2222

Accepted 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

Rita B Patel M.d., M.p.h. 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 ID648413609
PECOS Enrollment IDI20130823000916
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

6

Medicare enrollment records show Rita Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
45 10TH ST W STE 3000
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Internal Medicine
45 10TH STREET WEST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Healtheast Medical Research Institute
  • 2,361 clinicians in this Medicare group
Long Term Care Hospital
45 10TH ST W
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 671 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 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.

Hospital Affiliations CMS Care Compare

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier17 claims22 services$784.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatric Unit
45 10TH ST W
SAINT PAUL, MN 55102
Dietitian, Registered
45 10TH ST W
SAINT PAUL, MN 55102
Counselor (Mental Health)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Psychiatry & Neurology (Psychiatry)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102

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 Rita Patel's NPI number?

The NPI number for Rita Patel is 1316114275. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Rita Patel located?

Rita Patel practices at 45 10th St W, Saint Paul, MN 55102. The listed phone number is (651) 326-3876.

What is Rita Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rita Patel enrolled in Medicare?

Yes. Rita 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 Rita Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rita Patel reassigns Medicare benefits to 6 organizations: Fairview Express Care (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Bethesda Hospital (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN), Healtheast Woodwinds Hospital (Woodbury, MN) and 1 more organization, listed in the Medicare section above. 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 Rita Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rita Patel accept?

Health plans from Sanford Health Plan list Rita 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 Rita Patel affiliated with any hospitals?

According to CMS data, Rita Patel is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Rita Patel was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.