RAXIT RAJESH PATEL MD
NPI 1417118605
Internal Medicine - Pulmonary Disease in Canton, GA

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
77.76/100
CMS Quality Rating
460 NORTHSIDE CHEROKEE BLVD STE 130, CANTON, GA 30115(678) 493-2527(678) 493-5608 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 2, 2026, Apr 26, 2021, Feb 26, 2021 and 2 more (5 updates tracked since 2017).

About Raxit Rajesh Patel Md NPPES

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

RAXIT RAJESH PATEL MD (NPI 1417118605) is an individual pulmonary disease provider in Canton, Georgia, licensed in Georgia (64951) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1417118605
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAXIT RAJESH PATELCredential: MD
Location Address460 NORTHSIDE CHEROKEE BLVD STE 130Canton, GA 30115-8017
Mailing Address460 Northside Cherokee Blvd Ste 130Canton, GA 30115-8017 · (678) 493-2527 · Fax (678) 493-5608
Fax(678) 493-5608
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 19, 2008
Last NPPES UpdateMarch 2, 20265 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1417118605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in GA · 64951
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 64951 (GA)
460 NORTHSIDE CHEROKEE BLVD STE 130, Canton, GA 30115

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

Raxit Rajesh 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 ID9436338571
PECOS Enrollment IDI20110121000627
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 15

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.
243 services157 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
62 services59 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
58 services49 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
55 services52 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
55 services52 patients
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.
54 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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.

77.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.33
Promoting Interoperability99
Improvement Activities40
Cost49.93

Reported Quality Measures

Advance Care Plan
99%581 patients4/55-star benchmark: 100%
Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
93%28 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
63%268 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
45%66 patients3/55-star benchmark: 98%
e-Prescribing
94%209 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%315 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%364 patients3/55-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 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers69 claims69 services$33.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers50 claims50 services$75.09 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers50 claims129 services$28.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers24 claims127 services$17.96 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers14 claims81 services$12.95 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers42 claims42 services$52.29 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 8

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

Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Nurse Practitioner (Acute Care)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Nurse Practitioner (Acute Care)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Nurse Practitioner (Critical Care Medicine)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115

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 Raxit Patel's NPI number?

The NPI number for Raxit Patel is 1417118605. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Raxit Patel located?

Raxit Patel practices at 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115. The listed phone number is (678) 493-2527.

What is Raxit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Raxit Patel enrolled in Medicare?

Yes. Raxit 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 Raxit 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 Raxit 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 Raxit Patel affiliated with any hospitals?

According to CMS data, Raxit Patel is affiliated with Northside Hospital Cherokee, Piedmont Hospital, Northside Hospital and Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Raxit Patel was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.