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DR. SANJAY D PATEL M.D.
NPI 1376560938
Family Medicine in Wake Forest, NC

Active since July 17, 2006PECOS Enrolled
11635 NORTHPARK DR, WAKE FOREST, NC 27587(919) 570-6060(919) 570-0404 Get Directions Write a Review

NPPES record last updated: May 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sanjay D Patel M.d. NPPES

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

DR. SANJAY D PATEL M.D. (NPI 1376560938) is an individual family medicine provider in Wake Forest, North Carolina, licensed in North Carolina (2011-01665) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376560938
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANJAY D PATELCredential: M.D.
Location Address11635 NORTHPARK DRWake Forest, NC 27587-6526
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 620-4917 · Fax (919) 620-4921
Phone(919) 570-6060
Fax(919) 570-0404
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 19, 2012
✔ NPI 1376560938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2011-01665✔ Licensed in NH · 9143
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11635 NORTHPARK DR, Wake Forest, NC 27587
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Other Identifiers 4

Medicare PINNC2587ANC
Medicaid30006798NH
Medicare UPINC30428
Medicare PINBX3783NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjay D Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sanjay Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Affiliated Physicians, Inc.
1.5 mi
Emergency Medicine
3000 ROGERS RD STE 100
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
NPI 1649140963 (919) 385-1601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

CARE SERVICES ON CALL
Pharmacy
11635 NORTHPARK DR, SUITE 306
WAKE FOREST, NC 27587
Wake County (919) 674-3660
SHARNELL HOLDEN MS, LPC
Counselor (Mental Health)
11635 NORTHPARK DR
WAKE FOREST, NC 27587
Wake County (919) 263-9293
ANNE SILER
Behavior Analyst
11635 NORTHPARK DR
WAKE FOREST, NC 27587
Wake County (984) 785-1113
DR. FRANCISCO A CASTILLOS MD
Internal Medicine (Hematology & Oncology)
11635 NORTHPARK DR, SUITE 250
WAKE FOREST, NC 27587
Wake County (919) 825-4637

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 Sanjay Patel's NPI number?

The NPI number for Sanjay Patel is 1376560938. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sanjay Patel located?

Sanjay Patel practices at 11635 Northpark Dr, Wake Forest, NC 27587. The listed phone number is (919) 570-6060.

What is Sanjay Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanjay Patel enrolled in Medicare?

Yes. Sanjay Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sanjay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Patel reassigns Medicare benefits to Duke University Affiliated Physicians, Inc. (Wake Forest, NC). 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 Sanjay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Patel accept?

Health plans from Cigna Healthcare list Sanjay 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 Sanjay Patel was last updated on May 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.