DR. VIBHUTI PATEL MD
NPI 1518463256
Family Medicine in Shelby Township, MI

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
56293 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316(586) 932-4539 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Jun 15, 2021 (2 updates tracked since 2021).

About Dr. Vibhuti Patel Md NPPES

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

DR. VIBHUTI PATEL MD (NPI 1518463256) is an individual family medicine provider in Shelby Township, Michigan, licensed in Michigan (4301503955) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1518463256
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VIBHUTI PATELCredential: MD
Location Address56293 VAN DYKE AVEShelby Township, MI 48316-5019
Mailing Address5655 High Ridge DrYpsilanti, MI 48197-6759 · (618) 214-5143
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
NPI 1518463256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301503955
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.
56293 VAN DYKE AVE, Shelby Township, MI 48316

Secondary Practice Location 1

Location 1University Of Tennessee 920 Madison Ave Suite 447Memphis, TN 38163-0001 · Phone (901) 448-0230

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. Vibhuti 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 ID648527036
PECOS Enrollment IDI20210629002063
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 11

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 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.
196 services189 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.
113 services113 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
66 services40 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.
56 services56 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
47 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services43 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48316 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
56293 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316

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 Vibhuti Patel's NPI number?

The NPI number for Vibhuti Patel is 1518463256. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Vibhuti Patel located?

Vibhuti Patel practices at 56293 Van Dyke Ave, Shelby Township, MI 48316. The listed phone number is (586) 932-4539.

What is Vibhuti Patel's specialty?

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

Is Vibhuti Patel enrolled in Medicare?

Yes. Vibhuti 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 Vibhuti Patel accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vibhuti 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 Vibhuti Patel affiliated with any hospitals?

According to CMS data, Vibhuti Patel is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Vibhuti Patel was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.