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PARTH HARESH PATEL DO
NPI 1326612680
Emergency Medicine in Elmira, NY

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 25, 2025, Sep 17, 2024, May 19, 2021 (3 updates tracked since 2021).

About Parth Haresh Patel Do NPPES

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

PARTH HARESH PATEL DO (NPI 1326612680) is an individual emergency medicine provider in Elmira, New York, licensed in Illinois (036.171554) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2021).

NPPES Registry Identity

NPI1326612680
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePARTH HARESH PATELCredential: DO
Location Address600 ROE AVEElmira, NY 14905-1629
Mailing Address1805 Arlington LnGlendale Heights, IL 60139-1308
Phone(607) 737-4100
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2021
Enumeration DateMay 19, 2021
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1326612680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036.171554✔ Licensed in MO · 2025016138
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 ROE AVE, Elmira, NY 14905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, WellSense Health Plan.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

Parth Haresh Patel Do 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 ID6204367378
PECOS Enrollment IDI20240930002893, I20250821002040
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

2

Medicare enrollment records show Parth Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP
556 mi
Emergency Medicine
2900 N LAKE SHORE DR
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1134677370 (773) 665-3000
Cep America LLC
745 mi
Emergency Medicine
1320 N JEFFERSON AVE
Saint Louis, MO 63106
  • Reassigned Medicare billing, Missouri enrollment
  • 269 clinicians in this Medicare group
NPI 1699461673 (510) 350-2600

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
42 services40 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

ROHAIL AIJAZ BAIG MD
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 442-1713
DR. MADIHA AKHTER
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
DR. SANG S LEE MD
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
JOHN H CHOTKOWSKI M.D.
Radiology (Diagnostic Radiology)
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 734-3414
ROBERT NOVAK
General Practice
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
JESSICA DUAN DO
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
STEPHEN MANGANARO M.D.
Emergency Medicine
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4508
MRS. PENNY PENLAND STOLLERY ANP-C
Nurse Practitioner (Adult Health)
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-8165

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 Parth Patel's NPI number?

The NPI number for Parth Patel is 1326612680. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Parth Patel located?

Parth Patel practices at 600 Roe Ave, Elmira, NY 14905. The listed phone number is (607) 737-4100.

What is Parth Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Parth Patel enrolled in Medicare?

Yes. Parth 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 Parth Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parth Patel reassigns Medicare benefits to 2 organizations: Cepamerica Illinois LLP (Chicago, IL) and Cep America LLC (Saint Louis, MO). 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 Parth Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parth Patel accept?

Health plans from Medica and WellSense Health Plan list Parth 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 Parth Patel affiliated with any hospitals?

According to CMS data, Parth Patel is affiliated with Houston Healthcare, Macneal Hospital and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Parth Patel was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.