NIRALI PATEL
NPI 1356110670
Nurse Practitioner - Family in Roswell, GA

Active since December 28, 2023PECOS EnrolledAccepts Medicare Assignment
1360 UPPER HEMBREE RD STE 100, ROSWELL, GA 30076(770) 740-1753 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nirali Patel NPPES

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

NIRALI PATEL (NPI 1356110670) is an individual family provider in Roswell, Georgia, licensed in Georgia (RN289991) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356110670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIRALI PATEL
Location Address1360 UPPER HEMBREE RD STE 100Roswell, GA 30076-1230
Mailing Address1360 Upper Hembree Rd Ste 100Roswell, GA 30076-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1356110670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN289991
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN289991 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN289991 (GA)
1360 UPPER HEMBREE RD STE 100, Roswell, GA 30076

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

Nirali 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 ID1052757911
PECOS Enrollment IDI20240313003764
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

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.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1360 UPPER HEMBREE RD STE 100
ROSWELL, GA 30076
Family Medicine
1360 UPPER HEMBREE RD STE 100
ROSWELL, GA 30076

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 Nirali Patel's NPI number?

The NPI number for Nirali Patel is 1356110670. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Nirali Patel located?

Nirali Patel practices at 1360 Upper Hembree Rd Ste 100, Roswell, GA 30076. The listed phone number is (770) 740-1753.

What is Nirali Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nirali Patel enrolled in Medicare?

Yes. Nirali 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 Nirali 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 Nirali 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.

When was this NPI record last updated?

The NPPES record for Nirali Patel was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.