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RATILAL PATEL
NPI 1376603639
Internal Medicine in Jamaica, NY

Active since December 09, 2006PECOS EnrolledAccepts Medicare Assignment
89.52/100
CMS Quality Rating
13420 JAMAICA AVE, AXEL BLDG, 1ST FLOOR, JAMAICA, NY 11418(718) 206-6742 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ratilal Patel NPPES

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

RATILAL PATEL (NPI 1376603639) is an individual internal medicine provider in Jamaica, New York, licensed in New York (191125) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1376603639
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRATILAL PATEL
Location Address13420 JAMAICA AVE, AXEL BLDG, 1ST FLOORJamaica, NY 11418-2619
Mailing Address80 Marcus DrMelville, NY 11747-4230
Phone(718) 206-6742
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateDecember 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376603639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 191125
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13420 JAMAICA AVE, Jamaica, NY 11418
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Other Identifiers 1

Medicaid02020886NY

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

Ratilal 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 ID1456312479
PECOS Enrollment IDI20060130000370
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.34
Promoting Interoperability79
Improvement Activities40
Cost73.91

Referred Medical Equipment & Supplies CMS DME claims 2

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

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier12 claims12 services$71.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$68.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MICHELLE MIRIAM NAVI DDS
Dentist
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (347) 377-2484
NILESH PATEL MD
Internal Medicine
13420 JAMAICA AVE, 1ST FLOOR
JAMAICA, NY 11418
Queens County (718) 206-6742
ASIT MEHTA MD
Internal Medicine (Gastroenterology)
13420 JAMAICA AVE, 1ST FLOOR AXEL BUILDING
JAMAICA, NY 11418
Queens County (718) 206-6742
RICHARD PINSKER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13420 JAMAICA AVE, 1ST FLOOR AXEL BUILDING
JAMAICA, NY 11418
Queens County (718) 206-6742
FLUSHING HOSPITAL MEDICAL CENTER EARLY INTERVENTION PROGRAM
Early Intervention Provider Agency
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-8549
JOSE CERVANTES MD
Internal Medicine (Hematology & Oncology)
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-6742
ALYSSA ROSE MASCOLO
Student in an Organized Health Care Education/Training Program
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-6000
CRAIG THURM MD
Internal Medicine (Pulmonary Disease)
13420 JAMAICA AVE, AXEL BUILDING
JAMAICA, NY 11418
Queens County (718) 206-6742

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 Ratilal Patel's NPI number?

The NPI number for Ratilal Patel is 1376603639. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Where is Ratilal Patel located?

Ratilal Patel practices at 13420 Jamaica Ave Axel Bldg, 1st Floor, Jamaica, NY 11418. The listed phone number is (718) 206-6742.

What is Ratilal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ratilal Patel enrolled in Medicare?

Yes. Ratilal 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.

Is Ratilal Patel affiliated with any hospitals?

According to CMS data, Ratilal Patel is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Ratilal Patel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.