MAULIKKUMAR B PATEL MD
NPI 1427049824
Internal Medicine in Lancaster, PA

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
540 N DUKE ST, SUITE 244, LANCASTER, PA 17602(717) 544-4930(717) 544-4964 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maulikkumar B Patel Md NPPES

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

MAULIKKUMAR B PATEL MD (NPI 1427049824) is an individual internal medicine provider in Lancaster, Pennsylvania, licensed in Virginia (0101238131) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1427049824
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAULIKKUMAR B PATELCredential: MD
Location Address540 N DUKE ST, SUITE 244Lancaster, PA 17602-2374
Mailing Address540 N Duke St, Suite 244Lancaster, PA 17602-2374 · (717) 544-4930 · Fax (717) 544-4964
Fax(717) 544-4964
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 3, 2005
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1427049824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101238131
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.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD430235 (PA)
540 N DUKE ST, Lancaster, PA 17602

Other Identifiers 2

Medicaid010198747VA
Medicaid1023303670001PA

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

Maulikkumar B 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 ID3678599305
PECOS Enrollment IDI20090701000260
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 9

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.
314 services179 patients
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.
191 services152 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.
110 services89 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.
72 services51 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
64 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services45 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 31

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
7 suppliers29 claims29 services$33.38 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims341 services$6.33 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims364 services$4.50 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims26 services$6.64 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims24 services$3.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$89.19 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.

Nurse Practitioner (Family)
540 N DUKE ST, SUITE 110
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST
LANCASTER, PA 17602
Nurse Practitioner
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Internal Medicine (Pulmonary Disease)
540 N DUKE ST, SUITE 244
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST
LANCASTER, PA 17602
Internal Medicine (Pulmonary Disease)
540 N DUKE ST, SUITE 244
LANCASTER, PA 17602
Massage Therapist
540 N DUKE ST
LANCASTER, PA 17602
Physician Assistant (Medical)
540 N DUKE ST
LANCASTER, PA 17602

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 Maulikkumar Patel's NPI number?

The NPI number for Maulikkumar Patel is 1427049824. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Maulikkumar Patel located?

Maulikkumar Patel practices at 540 N Duke St Suite 244, Lancaster, PA 17602. The listed phone number is (717) 544-4930.

What is Maulikkumar Patel's specialty?

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

Is Maulikkumar Patel enrolled in Medicare?

Yes. Maulikkumar 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 Maulikkumar Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Maulikkumar 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 Maulikkumar Patel affiliated with any hospitals?

According to CMS data, Maulikkumar Patel is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Maulikkumar Patel was last updated on March 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.