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AVANI A PATEL MD
NPI 1497715445
Internal Medicine - Gastroenterology in Jamaica, NY

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
13420 JAMAICA AVE, JAMAICA, NY 11418(718) 206-6742(718) 206-6905 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avani A Patel Md NPPES

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

AVANI A PATEL MD (NPI 1497715445) is an individual gastroenterology provider in Jamaica, New York, licensed in New York (188199) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1497715445
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameAVANI A PATELCredential: MD
Location Address13420 JAMAICA AVEJamaica, NY 11418-2619
Mailing Address80 Marcus Dr, Provider EnrollmentMelville, NY 11747-4230 · (631) 391-7887 · Fax (631) 454-4161
Phone(718) 206-6742
Fax(718) 206-6905
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 18, 2013
✔ NPI 1497715445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 188199
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
13420 JAMAICA AVE, Jamaica, NY 11418
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Other Identifiers 3

Medicare PIN0105CENY
Medicare UPINF39161
Medicaid01393448NY

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

Avani A 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 ID1052468451
PECOS Enrollment IDI20090421000525
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 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.
39 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

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.

DR. MICHELLE MIRIAM NAVI DDS
Dentist
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (347) 377-2484
NILESH PATEL MD
Internal Medicine
13420 JAMAICA AVE, 1ST FLOOR
JAMAICA, NY 11418
Queens County (718) 206-6742
ASIT MEHTA MD
Internal Medicine (Gastroenterology)
13420 JAMAICA AVE, 1ST FLOOR AXEL BUILDING
JAMAICA, NY 11418
Queens County (718) 206-6742
RICHARD PINSKER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13420 JAMAICA AVE, 1ST FLOOR AXEL BUILDING
JAMAICA, NY 11418
Queens County (718) 206-6742
FLUSHING HOSPITAL MEDICAL CENTER EARLY INTERVENTION PROGRAM
Early Intervention Provider Agency
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-8549
JOSE CERVANTES MD
Internal Medicine (Hematology & Oncology)
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-6742
ALYSSA ROSE MASCOLO
Student in an Organized Health Care Education/Training Program
13420 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-6000
CRAIG THURM MD
Internal Medicine (Pulmonary Disease)
13420 JAMAICA AVE, AXEL BUILDING
JAMAICA, NY 11418
Queens County (718) 206-6742

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 Avani Patel's NPI number?

The NPI number for Avani Patel is 1497715445. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Avani Patel located?

Avani Patel practices at 13420 Jamaica Ave, Jamaica, NY 11418. The listed phone number is (718) 206-6742.

What is Avani Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Avani Patel enrolled in Medicare?

Yes. Avani 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.

Is Avani Patel affiliated with any hospitals?

According to CMS data, Avani Patel is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Avani Patel was last updated on January 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.