VIRAL MAINAK PATEL MD
NPI 1508126780
Internal Medicine in Fayetteville, GA

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(404) 367-3014 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2022, Oct 26, 2017 (2 updates tracked since 2017).

About Viral Mainak Patel Md NPPES

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

VIRAL MAINAK PATEL MD (NPI 1508126780) is an individual internal medicine provider in Fayetteville, Georgia, licensed in Georgia (73779) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1508126780
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIRAL MAINAK PATELCredential: MD
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address5325 Faraon StSaint Joseph, MO 64506-3488 · (816) 271-6406 · Fax (816) 271-7986
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 22, 2012
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1508126780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 73779 Licensed in GA · 005441
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 ListedHospitalistTaxonomy 208M00000X · License 73779 (GA), 2015022429 (MO)
1255 HIGHWAY 54 W, Fayetteville, GA 30214

Secondary Practice Location 1

Location 15325 Faraon St, MSC 69Saint Joseph, MO 64506-3488 · Phone (816) 271-6406 · Fax (816) 271-7986

Other Identifiers 3

Medicaid1508126780MO
Medicaid201124300AKS
OtherP01584894MO · Rr Medicare

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

Viral Mainak 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 ID5395901854
PECOS Enrollment IDI20220821000000
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 6

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.
377 services186 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.
167 services164 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.
154 services108 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.
102 services99 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.
38 services34 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$13.46 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 suppliers26 claims26 services$81.05 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$32.88 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.

Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Practitioner
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physician Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

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 Viral Patel's NPI number?

The NPI number for Viral Patel is 1508126780. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Viral Patel located?

Viral Patel practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (404) 367-3014.

What is Viral Patel's specialty?

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

Is Viral Patel enrolled in Medicare?

Yes. Viral 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 Viral Patel accept?

Health plans from Alliant Health Plans, Inc. and Medica list Viral 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 Viral Patel affiliated with any hospitals?

According to CMS data, Viral Patel is affiliated with Piedmont Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Viral Patel was last updated on August 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.