RITA RAMESH PATEL M.D.
NPI 1497195374
Family Medicine in Saint Albans, WV

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
12 KANAWHA TER, SAINT ALBANS, WV 25177(304) 201-1130(304) 201-1134 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Oct 15, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Rita Ramesh Patel M.d. NPPES

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

RITA RAMESH PATEL M.D. (NPI 1497195374) is an individual family medicine provider in Saint Albans, West Virginia, licensed in West Virginia (27595) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1497195374
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRITA RAMESH PATELCredential: M.D.
Location Address12 KANAWHA TERSaint Albans, WV 25177-2750
Mailing Address97 Great Teays Blvd Ste 6Scott Depot, WV 25560-9816 · (304) 757-6999 · Fax (304) 201-5019
Fax(304) 201-1134
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1497195374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 27595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12 KANAWHA TER, Saint Albans, WV 25177

Secondary Practice Locations 9

Location 12851 Charleston Road, Suite #2Poca, WV 25159 · Phone (304) 351-3015
Location 24111 1st Ave Ste 3Nitro, WV 25143-1345 · Phone (304) 755-4797
Location 3515 Main StMadison, WV 25130-1417 · Phone (304) 369-0393 · Fax (304) 369-0371
Location 42 Chateau LnBarboursville, WV 25504-1626 · Phone (304) 736-9662 · Fax (304) 733-0079
Location 53411 Noyes AveCharleston, WV 25304-1351 · Phone (304) 356-3456
Location 612576 Winfield RdWinfield, WV 25213-7315 · Phone (304) 586-0111
Location 73248 Teays Valley RdHurricane, WV 25526-1320 · Phone (304) 757-1031
Location 8116 Hills PlzCharleston, WV 25387-2438 · Phone (304) 720-4466 · Fax (304) 720-4821
Location 9314 Goff Mountain RdCross Lanes, WV 25313-6602 · Phone (304) 388-7070

Other Identifiers 1

Medicaid1497195374WV

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

Rita 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 ID1153552682
PECOS Enrollment IDI20170926000258
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.

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.
306 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 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.
43 services38 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
30 services30 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
29 services29 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.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25177 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims39 services$5.71 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 suppliers13 claims13 services$16.31 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier15 claims15 services$185.68 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.

Physician Assistant (Medical)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Internal Medicine
12 KANAWHA TER
SAINT ALBANS, WV 25177
Nurse Practitioner (Family)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Emergency Medicine
12 KANAWHA TER
SAINT ALBANS, WV 25177
Obstetrics & Gynecology
12 KANAWHA TER
SAINT ALBANS, WV 25177
Dentist (Pediatric Dentistry)
12 KANAWHA TER, SUITE B
SAINT ALBANS, WV 25177
Counselor (Professional)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Nurse Practitioner (Family)
12 KANAWHA TER
SAINT ALBANS, WV 25177

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 Rita Patel's NPI number?

The NPI number for Rita Patel is 1497195374. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Rita Patel located?

Rita Patel practices at 12 Kanawha Ter, Saint Albans, WV 25177. The listed phone number is (304) 201-1130.

What is Rita Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rita Patel enrolled in Medicare?

Yes. Rita 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 Rita Patel accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Rita 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 Rita Patel affiliated with any hospitals?

According to CMS data, Rita Patel is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rita Patel was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.