VIJAY M. PATEL M.D.
NPI 1336123439
Internal Medicine - Pulmonary Disease in Newnan, GA
About Vijay M. Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIJAY M. PATEL M.D. (NPI 1336123439) is an individual pulmonary disease provider in Newnan, Georgia, licensed in Georgia (035723) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Southern Illinois University School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 4
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
Vijay M. 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.
Areas of Expertise CMS Part B claims 22
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Hospital
Acute Care Hospitals · Atlanta, GAPiedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPiedmont Newnan Hospital, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 38
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEWNAN, GA 30265
NEWNAN, GA 30265
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 Vijay Patel's NPI number?
The NPI number for Vijay Patel is 1336123439. It was assigned to this individual provider in the NPPES registry on December 1, 2005.
Where is Vijay Patel located?
Vijay Patel practices at 775 Poplar Rd Suite 130, Newnan, GA 30265. The listed phone number is (770) 683-6921.
What is Vijay Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Vijay Patel enrolled in Medicare?
Yes. Vijay 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 Vijay Patel accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vijay 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 Vijay Patel affiliated with any hospitals?
According to CMS data, Vijay Patel is affiliated with Piedmont Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Vijay Patel was last updated on August 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.