1. Home
  2. Directory
  3. Louisiana
  4. Marrero
  5. Internal Medicine
  6. NPI Profile

FALGUNI PATEL M.D
NPI 1437563012
Internal Medicine in Marrero, LA

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072(504) 349-1656 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Falguni Patel M.d NPPES

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

FALGUNI PATEL M.D (NPI 1437563012) is an individual internal medicine provider in Marrero, Louisiana, licensed in Louisiana (305969) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437563012
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFALGUNI PATELCredential: M.D
Location Address1101 MEDICAL CENTER BLVDMarrero, LA 70072
Mailing Address2390 W Congress StLafayette, LA 70506-4205 · (337) 267-6789
Phone(504) 349-1656
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 11, 2014
Last NPPES UpdateJune 6, 2018
✔ NPI 1437563012 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 LA · 305969
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1101 MEDICAL CENTER BLVD, Marrero, LA 70072
Open in Google Maps ↗

Other Identifiers 1

Medicaid2369580LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Falguni Patel M.d 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 ID4385936327
PECOS Enrollment IDI20171023001424
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 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.
277 services86 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.
88 services34 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.
66 services64 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.
41 services38 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

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…
95%96 patients4/55-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 6

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$3.30 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,051 services$0.69 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$14.87 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$800.16 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
3 suppliers28 claims28 services$62.17 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.

LAURA KATHLEEN BROWN MSN-APRN
Nurse Practitioner (Acute Care)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-2351
MS. ROSALIE MARIE LARSON MSN, RN
Registered Nurse (Critical Care Medicine)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-2400
DR. KENNETH C. MALMSTROM MD
Hospitalist
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1656
DR. JAMES W CALLAGHAN MD
Emergency Medicine
1101 MEDICAL CENTER BLVD, EMERGENCY DEPARTMENT
MARRERO, LA 70072
Jefferson Parish (504) 349-1533
HERNAN ADAMES MD
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1656
JAHNAVI RUDRAKSHALA MD
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1656
DR. JAMIESON GLASSER M.D.
Student in an Organized Health Care Education/Training Program
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 347-5511
ELIZABETH COCHRANE RITZ M.D.
Emergency Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1533

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 Falguni Patel's NPI number?

The NPI number for Falguni Patel is 1437563012. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Falguni Patel located?

Falguni Patel practices at 1101 Medical Center Blvd, Marrero, LA 70072. The listed phone number is (504) 349-1656.

What is Falguni Patel's specialty?

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

Is Falguni Patel enrolled in Medicare?

Yes. Falguni 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 Falguni Patel accept?

Health plans from HMO Louisiana list Falguni 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 Falguni Patel affiliated with any hospitals?

According to CMS data, Falguni Patel is affiliated with West Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Falguni Patel was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.