DR. VISHAL GAUTAM PATEL MD
NPI 1326676446
Internal Medicine - Rheumatology in Baltimore, MD

Active since April 01, 2020PECOS Enrolled
78.18/100
CMS Quality Rating
1800 ORLEANS ST, BALTIMORE, MD 21287(410) 955-8893 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2026, Nov 21, 2024, Jun 7, 2024 and 2 more (5 updates tracked since 2020).

About Dr. Vishal Gautam Patel Md NPPES

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

DR. VISHAL GAUTAM PATEL MD (NPI 1326676446) is an individual rheumatology provider in Baltimore, Maryland, licensed in Maryland (D0106683) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1326676446
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. VISHAL GAUTAM PATELCredential: MD
Location Address1800 ORLEANS STBaltimore, MD 21287-0010
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (352) 265-0153
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateMay 26, 20265 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1326676446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MD · D0106683
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1800 ORLEANS ST, Baltimore, MD 21287

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-0001 · Phone (352) 265-0651 · Fax (352) 265-0153

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vishal Gautam Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

General Practice
600 N WOLFE ST
Baltimore, MD 21205
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Anesthesiology
1800 ORLEANS ST
BALTIMORE, MD 21287
Pediatrics
1800 ORLEANS ST
BALTIMORE, MD 21287
Internal Medicine (Gastroenterology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Surgery (Trauma Surgery)
1800 ORLEANS ST
BALTIMORE, MD 21287
Radiology (Neuroradiology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Physician Assistant
1800 ORLEANS ST
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST
BALTIMORE, MD 21287
Nurse Practitioner (Family)
1800 ORLEANS ST
BALTIMORE, MD 21287

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 Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1326676446. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Vishal Patel located?

Vishal Patel practices at 1800 Orleans St, Baltimore, MD 21287. The listed phone number is (410) 955-8893.

What is Vishal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Vishal Patel enrolled in Medicare?

Yes. Vishal Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vishal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Patel reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Florida Clinical Practice Association Inc (Gainesville, FL). 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 Vishal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.