DR. RISHI RAMESH PATEL M.D.
NPI 1487186094
Internal Medicine - Hematology & Oncology in Decatur, AL

Active since April 02, 2017PECOS EnrolledAccepts Medicare Assignment
78.13/100
CMS Quality Rating
1107 14TH AVE SE STE 200, DECATUR, AL 35601(256) 705-4224(256) 705-4135 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, May 9, 2023, Apr 2, 2017 (3 updates tracked since 2017).

About Dr. Rishi Ramesh Patel M.d. NPPES

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

DR. RISHI RAMESH PATEL M.D. (NPI 1487186094) is an individual hematology & oncology provider in Decatur, Alabama, licensed in Alabama (39447) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2017).

NPPES Registry Identity

NPI1487186094
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RISHI RAMESH PATELCredential: M.D.
Location Address1107 14TH AVE SE STE 200Decatur, AL 35601-3354
Mailing AddressPo Box 18428Huntsville, AL 35804-8428 · (256) 705-4224 · Fax (256) 705-4135
Fax(256) 705-4135
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2017
Enumeration DateApril 2, 2017
Last NPPES UpdateJune 1, 20233 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
NPI 1487186094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AL · 39447
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1107 14TH AVE SE STE 200, Decatur, AL 35601

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

Dr. Rishi Ramesh 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 ID7911249297
PECOS Enrollment IDI20230602001744
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 73

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.

Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
18,690 services18 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
13,600 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
12,480 services96 patients
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
This procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.
9,250 services25 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
8,000 services63 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,486 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

78.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.97
Promoting Interoperability88
Improvement Activities40
Cost42.12

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 (Hematology & Oncology)
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Physician Assistant
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Radiology (Radiation Oncology)
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Nurse Practitioner (Family)
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Nurse Practitioner
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Nurse Practitioner (Family)
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Nurse Practitioner (Family)
1107 14TH AVE SE STE 200
DECATUR, AL 35601
Nurse Practitioner
1107 14TH AVE SE STE 200
DECATUR, AL 35601

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 Rishi Patel's NPI number?

The NPI number for Rishi Patel is 1487186094. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Rishi Patel located?

Rishi Patel practices at 1107 14th Ave SE Ste 200, Decatur, AL 35601. The listed phone number is (256) 705-4224.

What is Rishi Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rishi Patel enrolled in Medicare?

Yes. Rishi 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 Rishi Patel accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Rishi 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.

When was this NPI record last updated?

The NPPES record for Rishi Patel was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.