PRIYESHKUMAR JAGADISHBHAI PATEL MD
NPI 1407139256
Hospitalist in Charlotte, NC

Q: What is Priyeshkumar Patel's NPI number?

The NPI number for Priyeshkumar Patel is 1407139256. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Q: What is Priyeshkumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since September 27, 2011PECOS EnrolledAccepts Medicare Assignment

8201 HEALTHCARE LOOP STE 305, CHARLOTTE, NC 28215(980) 302-3050(980) 302-3055 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Priyeshkumar Jagadishbhai Patel Md NPPES

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

PRIYESHKUMAR JAGADISHBHAI PATEL MD (NPI 1407139256) is an individual hospitalist provider in Charlotte, North Carolina, licensed in North Carolina (2014-00267) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1407139256

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NamePRIYESHKUMAR JAGADISHBHAI PATELCredential: MD

Location Address8201 HEALTHCARE LOOP STE 305Charlotte, NC 28215-7072

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-3050 · Fax (980) 302-3055

Phone(980) 302-3050

Fax(980) 302-3055

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 27, 2011

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1407139256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in NC · 2014-00267✔ Licensed in FL · ME111378

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME111378 (FL)

8201 HEALTHCARE LOOP STE 305, Charlotte, NC 28215

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Secondary Practice Location 1

Location 1655 W 8th StJacksonville, FL 32209-6511 · Phone (904) 244-4963 · Fax (904) 244-4799

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Priyeshkumar Jagadishbhai Patel Md 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 ID7618144312

PECOS Enrollment IDI20200728002016, I20251117002544, I20251210001948

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 Reassignments

Medicare enrollment records show Priyeshkumar Patel reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC

Same address

Internal Medicine

8201 HEALTHCARE LOOP STE 304
Charlotte, NC 28215

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1033698527 (704) 384-5416

Mcleod Regional Medical Center Of The Pee Dee, Inc

87 mi

Emergency Medical Services

555 E CHEVES ST
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
816 clinicians in this Medicare group

NPI 1154371433 (843) 777-2000

Cogent Healthcare Of Jacksonville, LLC

341 mi

Internal Medicine

655 W 8TH ST
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
440 clinicians in this Medicare group

NPI 1124252333 (904) 244-3850

Nephrology Associates Of Greater Cincinnati, LLC

343 mi

Internal Medicine

4665 E GALBRAITH RD STE 101
Cincinnati, OH 45236

Reassigned Medicare billing, Ohio enrollment
7 clinicians in this Medicare group

NPI 1942631825 (513) 791-2137

Mvhe Inc

349 mi

Family Medicine

4859 NIXON PARK DR, STE A
Mason, OH 45040

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1083841555 (513) 492-5940

Hospitalist Medicine Physicians Of Ohio, Professional Corporation

349 mi

Internal Medicine

6001 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
776 clinicians in this Medicare group

NPI 1043572290 (614) 234-7535

Usacs Integrated Acute Care Services Of Ohio, LLC

368 mi

Internal Medicine

100 MEDICAL CENTER DR
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
494 clinicians in this Medicare group

NPI 1043805690 (844) 474-4019

Upper Valley Professional Corporation

382 mi

Family Medicine

3130 N COUNTY ROAD 25A
Troy, OH 45373

Reassigned Medicare billing, Ohio enrollment
405 clinicians in this Medicare group

NPI 1407872518 (937) 440-7497

Sound Physicians Of Florida IV, LLC

397 mi

Internal Medicine

60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164

Reassigned Medicare billing, Florida enrollment
300 clinicians in this Medicare group

NPI 1740633635 (615) 377-5658

Hospital Physician Services Of Florida PA

501 mi

Hospitalist

8383 N DAVIS HWY
Pensacola, FL 32514

Reassigned Medicare billing, Florida enrollment
601 clinicians in this Medicare group

NPI 1558718635 (850) 494-4000

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

Areas of Expertise CMS Part B claims 5

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

426 services195 patients

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.

228 services112 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

216 services207 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

184 services171 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

28 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340190

Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28215 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%143 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier16 claims992 services$5.89 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier18 claims558 services$4.47 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier15 claims465 services$3.26 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 12

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

KATHERINE MICHELLE MATTINGLY PA

Physician Assistant