VISHAL C PATEL MD PHD
NPI 1518252196
Neurological Surgery in Allentown, PA
About Vishal C Patel Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISHAL C PATEL MD PHD (NPI 1518252196) is an individual neurological surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD491401) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Drexel University College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Vishal C Patel Md Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Vishal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Allentown, PA 18103
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Schuylkill Medical Center - South Jackson Street
Acute Care Hospitals · Pottsville, PALehigh Valley Hospital
Acute Care Hospitals · Allentown, PALehigh Valley Hospital - Hazleton
Acute Care Hospitals · Hazleton, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
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 Vishal Patel's NPI number?
The NPI number for Vishal Patel is 1518252196. It was assigned to this individual provider in the NPPES registry on June 13, 2011.
Where is Vishal Patel located?
Vishal Patel practices at 1250 S Cedar Crest Blvd Ste 405, Allentown, PA 18103. The listed phone number is (610) 402-8420.
What is Vishal Patel's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Vishal Patel enrolled in Medicare?
Yes. Vishal 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.
Which organization bills Medicare for Vishal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Patel reassigns Medicare benefits to Lehigh Valley Physician Group (Allentown, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vishal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vishal Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Vishal 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 Vishal Patel affiliated with any hospitals?
According to CMS data, Vishal Patel is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.
When was this NPI record last updated?
The NPPES record for Vishal Patel was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.