DR. ALPA MAHENDRA PATEL M.D.
NPI 1356543375
Internal Medicine - Geriatric Medicine in Rockford, IL
About Dr. Alpa Mahendra Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALPA MAHENDRA PATEL M.D. (NPI 1356543375) is an individual geriatric medicine provider in Rockford, Illinois, licensed in Georgia (97052) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Cumming.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Dr. Alpa Mahendra 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.
Medicare Billing Reassignments
3Medicare enrollment records show Alpa Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Illinois enrollment
- 419 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Alpa Patel's NPI number?
The NPI number for Alpa Patel is 1356543375. It was assigned to this individual provider in the NPPES registry on June 1, 2007.
Where is Alpa Patel located?
Alpa Patel practices at 5666 E State St, Rockford, IL 61108. The listed phone number is (815) 381-7715.
What is Alpa Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Alpa Patel enrolled in Medicare?
Yes. Alpa 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 organizations bill Medicare for Alpa Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alpa Patel reassigns Medicare benefits to 3 organizations: Osf Multi-Specialty Group (Peoria, IL), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and North Atlanta Professional Services LLC (Atlanta, GA). 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 Alpa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alpa Patel accept?
Health plans from Oscar Health and Wellmark Health Plan of Iowa, Inc. list Alpa 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 Alpa Patel affiliated with any hospitals?
According to CMS data, Alpa Patel is affiliated with Northside Hospital Forsyth.
When was this NPI record last updated?
The NPPES record for Alpa Patel was last updated on January 3, 2024. 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.
# Dr. Alpa Mahendra Patel, M.D. · NPI 1356543375
Geriatric Medicine physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since June 1, 2007.
## Identity
- **NPI:** 1356543375 (Entity type: Individual)
- **Enumerated:** June 1, 2007
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** 97052 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5666 E STATE ST, Rockford, IL 61108-2425
- **Phone:** (815) 381-7715
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL); Sound Physicians Of Illinois, LLC (NPI 1043598865, Bridgeton, MO); North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** January 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356543375) · Data from the CMS NPPES public registry.