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DR. AMIT AJITKUMAR PATEL M.D.
NPI 1346431004
Internal Medicine - Endocrinology, Diabetes & Metabolism in Raleigh, NC

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
6729 FALLS OF NEUSE RD STE 201, RALEIGH, NC 27615(919) 844-6218(919) 847-5699 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2021, Feb 29, 2020, Jun 11, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Amit Ajitkumar Patel M.d. NPPES

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

DR. AMIT AJITKUMAR PATEL M.D. (NPI 1346431004) is an individual endocrinology, diabetes & metabolism provider in Raleigh, North Carolina, licensed in North Carolina (2008-01685) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346431004
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. AMIT AJITKUMAR PATELCredential: M.D.
Location Address6729 FALLS OF NEUSE RD STE 201Raleigh, NC 27615-5287
Mailing Address6729 Falls Of Neuse Rd Ste 201Raleigh, NC 27615-5287 · (919) 844-6218 · Fax (919) 847-5699
Phone(919) 844-6218
Fax(919) 847-5699
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 7, 2007
Last NPPES UpdateMarch 27, 20215 updates tracked since enumeration
NPPES CertifiedMarch 27, 2021
✔ NPI 1346431004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 2008-01685
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2008-01685 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 2008-01685 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6729 FALLS OF NEUSE RD STE 201, Raleigh, NC 27615
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111009 Ingleside Pl Ste 204Raleigh, NC 27614-8577 · Phone (919) 844-6218 · Fax (919) 847-5699
Location 22500 Regency Pkwy Ste C-1Cary, NC 27518-8549 · Phone (833) 433-7100

Other Identifiers 2

Other150WMNC · Bc/bs
Medicaid5910585NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Amit Ajitkumar 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.

PECOS PAC ID5193884757
PECOS Enrollment IDI20081111000672
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
476 services250 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
118 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
62 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
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.
27 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers16 claims200 services$17.86 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers16 claims465 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers74 claims326 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims35 services$1.20 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers14 claims14 services$291.57 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
9 suppliers24 claims2,720 services$7.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Amit Patel's NPI number?

The NPI number for Amit Patel is 1346431004. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Amit Patel located?

Amit Patel practices at 6729 Falls Of Neuse Rd Ste 201, Raleigh, NC 27615. The listed phone number is (919) 844-6218.

What is Amit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Amit Patel enrolled in Medicare?

Yes. Amit 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 Amit Patel accept?

Health plans from Blue Cross and Blue Shield of NC list Amit 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 Amit Patel affiliated with any hospitals?

According to CMS data, Amit Patel is affiliated with Wakemed, Raleigh Campus and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Amit Patel was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.