MADHAVI PATEL
NPI 1518574151
Nurse Practitioner - Family in Edgewater, MD

Q: What is Madhavi Patel's NPI number?

The NPI number for Madhavi Patel is 1518574151. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Q: What is Madhavi Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Madhavi Patel was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 28, 2020PECOS Enrolled

76.58/100

CMS Quality Rating

3025 SOLOMONS ISLAND RD, EDGEWATER, MD 21037(410) 798-8715 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2021, Sep 19, 2021, Jun 12, 2021 and 1 more (4 updates tracked since 2020).

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About Madhavi Patel NPPES

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

MADHAVI PATEL (NPI 1518574151) is an individual family provider in Edgewater, Maryland, licensed in Maryland (R250854) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1518574151

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADHAVI PATEL

Location Address3025 SOLOMONS ISLAND RDEdgewater, MD 21037-1416

Mailing Address3025 Solomons Island RdEdgewater, MD 21037-1416 · (706) 255-3391

Phone(410) 798-8715

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 28, 2020

Last NPPES UpdateOctober 19, 20214 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1518574151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MD · R250854✔ Licensed in GA · RN265045

Also ListedRegistered NurseTaxonomy 163W00000X · License RN265045 (GA), R250854 (MD)

3025 SOLOMONS ISLAND RD, Edgewater, MD 21037

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Secondary Practice Location 1

Location 11400 Sulphur Spring RdBaltimore, MD 21227-2701 · Phone (706) 255-3391

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhavi Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486045903

PECOS Enrollment IDI20220104002977

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 2

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.

238 services160 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.

23 services21 patients

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210012

Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21037 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.56

Promoting Interoperability

100

Improvement Activities

Cost

48.54

Other Providers at the Same Location NPPES 12

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

MARYLYN EZENYI CRNP

Nurse Practitioner (Family)