LAVINA PATEL
NPI 1356107833
Nurse Practitioner - Adult Health in Fallston, MD

Active since February 22, 2024PECOS EnrolledAccepts Medicare Assignment
2011 DUKE ST, FALLSTON, MD 21047(443) 854-9468 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lavina Patel NPPES

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

LAVINA PATEL (NPI 1356107833) is an individual adult health provider in Fallston, Maryland, licensed in Maryland (R228553) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356107833
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLAVINA PATEL
Location Address2011 DUKE STFallston, MD 21047-2943
Mailing Address2011 Duke StFallston, MD 21047-2943
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 22, 2024
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1356107833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · R228553
2011 DUKE ST, Fallston, MD 21047

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

Lavina Patel 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 ID941797419
PECOS Enrollment IDI20251016005131
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 Reassignment

Medicare enrollment records show Lavina Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 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 2

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21047 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
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.

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 Lavina Patel's NPI number?

The NPI number for Lavina Patel is 1356107833. It was assigned to this individual provider in the NPPES registry on February 22, 2024.

Where is Lavina Patel located?

Lavina Patel practices at 2011 Duke St, Fallston, MD 21047. The listed phone number is (443) 854-9468.

What is Lavina Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lavina Patel enrolled in Medicare?

Yes. Lavina 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 organization bills Medicare for Lavina Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lavina Patel reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Lavina Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lavina Patel affiliated with any hospitals?

According to CMS data, Lavina Patel is affiliated with Medstar Union Memorial Hospital and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Lavina Patel was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.