DR. SAGAR PATEL M.D.
NPI 1528327210
Internal Medicine - Hematology & Oncology in Edina, MN

Q: What is Sagar Patel's NPI number?

The NPI number for Sagar Patel is 1528327210. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Sagar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Sagar Patel was last updated on November 11, 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 May 15, 2012PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

6401 FRANCE AVE S, EDINA, MN 55435(952) 924-5000 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 11, 2021, Aug 14, 2019 (2 updates tracked since 2019).

On this page

About Dr. Sagar Patel M.d. NPPES

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

DR. SAGAR PATEL M.D. (NPI 1528327210) is an individual hematology & oncology provider in Edina, Minnesota, licensed in Utah (11351521-1205) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Minnesota Medical School (2012).

NPPES Registry Identity

NPI1528327210

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. SAGAR PATELCredential: M.D.

Location Address6401 FRANCE AVE SEdina, MN 55435-2104

Mailing Address400 Stinson Blvd, Fl 2, Provider EnrollmentMinneapolis, MN 55413-2614

Phone(952) 924-5000

Sole ProprietorYes

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012

Enumeration DateMay 15, 2012

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1528327210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in UT · 11351521-1205

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57291 (MN)

6401 FRANCE AVE S, Edina, MN 55435

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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. Sagar Patel M.d. 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 ID143454538

PECOS Enrollment IDI20191108002902

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.

204 services37 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

182 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

52 services14 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.

20 services18 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.

17 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

92.06/100

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

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

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.

JAMES RAYMOND BISHOP MD

Emergency Medicine

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 924-5108

TIMOTHY JORDAN MILLER

Physical Therapist

6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435

Hennepin County (952) 924-1313

ASHLEY M WOLFGRAM CNP

Nurse Practitioner (Acute Care)

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 924-5000

JUDITH A VENASKY CRNA

Nurse Anesthetist, Certified Registered

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 924-5000

DAVID WILLIAM KROLL CRNA

Nurse Anesthetist, Certified Registered

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (925) 924-5000

DR. COURTNEY ERIN MCELROY M.D., M.P.H.

Hospitalist

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 924-5000

KATHERINE VALIANT MSN, APRN, CCRN

Nurse Anesthetist, Certified Registered

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 924-5000

DIANNE VAN RAVENSWAAY CRNA

Nurse Anesthetist, Certified Registered

6401 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 924-5000

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 Sagar Patel's NPI number?

The NPI number for Sagar Patel is 1528327210. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Sagar Patel located?

Sagar Patel practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.

What is Sagar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sagar Patel enrolled in Medicare?

Yes. Sagar 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 Sagar Patel accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Sagar 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 Sagar Patel affiliated with any hospitals?

According to CMS data, Sagar Patel is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Sagar Patel was last updated on November 11, 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.