DR. ALPA S PATEL MD
NPI 1528081098
Ophthalmology in Los Angeles, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
100 STEIN PLAZA, RM 1-340, LOS ANGELES, CA 90095(310) 825-3090 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alpa S Patel Md NPPES

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

DR. ALPA S PATEL MD (NPI 1528081098) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A71125) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1528081098
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALPA S PATELCredential: MD
Location Address100 STEIN PLAZA, RM 1-340Los Angeles, CA 90095-7065
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-8888 · Fax (310) 301-8751
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1528081098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A71125
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
100 STEIN PLAZA, Los Angeles, CA 90095

Secondary Practice Location 1

Location 1101 The City Dr SOrange, CA 92868-3201 · Phone (714) 456-8888

Other Identifiers 1

Other00A711250CA · Medical Ppin #

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

Dr. Alpa S 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 ID6507813920
PECOS Enrollment IDI20050406001315
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alpa Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
23961 CALLE DE LA MAGDALENA, STE. 302
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Ophthalmology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 113 clinicians in this Medicare group
Ophthalmology
24422 AVENIDA DE LA CARLOTA STE 110
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: George M. Salib, MD Inc.
  • 8 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.

Areas of Expertise CMS Part B claims 23

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
154 services148 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
121 services86 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
115 services111 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.
113 services94 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
98 services84 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.
74 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Surgery (Plastic and Reconstructive Surgery)
100 STEIN PLAZA, RM 1-340
LOS ANGELES, CA 90095
Ophthalmology
100 STEIN PLAZA, RM 1-340
LOS ANGELES, CA 90095
Ophthalmology
100 STEIN PLAZA, STE 1-340
LOS ANGELES, CA 90095
Ophthalmology
100 STEIN PLAZA, RM#1-340
LOS ANGELES, CA 90095
Pediatrics
100 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
100 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
100 STEIN PLAZA, RM 1-340
LOS ANGELES, CA 90095
Ophthalmology
100 STEIN PLAZA, RM 1-340
LOS ANGELES, CA 90095

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 Alpa Patel's NPI number?

The NPI number for Alpa Patel is 1528081098. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Alpa Patel located?

Alpa Patel practices at 100 Stein Plaza Rm 1-340, Los Angeles, CA 90095. The listed phone number is (310) 825-3090.

What is Alpa Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alpa Patel enrolled in Medicare?

Yes. Alpa 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 organizations bill Medicare for Alpa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alpa Patel reassigns Medicare benefits to 3 organizations: South Coast Eye Care Centers A Comp Ophthalmology Medical Grp Inc. (Laguna Hills, CA), Regents Of The University Of California (Orange, CA) and George M. Salib, M.D. Inc. (Laguna Hills, CA). Each 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 Alpa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alpa Patel was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.