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PREMALKUMAR RAJNIBHAI PATWA M.D.
NPI 1538320601
Psychiatry & Neurology - Psychiatry in Leesburg, VA

Active since June 21, 2008PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
19 FORT EVANS RD NE STE C, LEESBURG, VA 20176(703) 737-2110(703) 737-2111 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premalkumar Rajnibhai Patwa M.d. NPPES

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

PREMALKUMAR RAJNIBHAI PATWA M.D. (NPI 1538320601) is an individual psychiatry provider in Leesburg, Virginia, licensed in Virginia (0101274631) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ashtabula, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1538320601
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePREMALKUMAR RAJNIBHAI PATWACredential: M.D.
Location Address19 FORT EVANS RD NE STE CLeesburg, VA 20176-4487
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(703) 737-2110
Fax(703) 737-2111
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 21, 2008
Last NPPES UpdateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1538320601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VA · 0101274631✔ Licensed in OH · 35.094543
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
19 FORT EVANS RD NE STE C, Leesburg, VA 20176
Open in Google Maps ↗

Secondary Practice Location 1

Location 12801 C CtAshtabula, OH 44004-4577 · Phone (440) 998-4210 · Fax (440) 998-6489

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

Premalkumar Rajnibhai Patwa 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 ID1850583626
PECOS Enrollment IDI20221018002835, I20221018003293
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 4

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.
205 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
28 services28 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES 6

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

MONICA ANDREA TAYLOR LPC
Counselor (Mental Health)
19 FORT EVANS RD NE STE C
LEESBURG, VA 20176
Loudoun County (571) 472-2500
VIJAYA LAKSHMI NALLAMOTHU M.D.
Psychiatry & Neurology (Psychiatry)
19 FORT EVANS RD NE STE C
LEESBURG, VA 20176
Loudoun County (703) 737-2110
MADELEINE PIERCE LCSW
Social Worker (Clinical)
19 FORT EVANS RD NE STE C
LEESBURG, VA 20176
Loudoun County (703) 737-2110
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery
19 FORT EVANS RD NE STE C
LEESBURG, VA 20176
Loudoun County (703) 777-3262
DR. MARWA GHABRA MD
Psychiatry & Neurology (Psychiatry)
19 FORT EVANS RD NE STE C
LEESBURG, VA 20176
Loudoun County (703) 737-2110
CAROLYN MARIE MAHER
Social Worker (Clinical)
19 FORT EVANS RD NE STE C
LEESBURG, VA 20176
Loudoun County (571) 472-2500

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 Premalkumar Patwa's NPI number?

The NPI number for Premalkumar Patwa is 1538320601. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Where is Premalkumar Patwa located?

Premalkumar Patwa practices at 19 Fort Evans Rd NE Ste C, Leesburg, VA 20176. The listed phone number is (703) 737-2110.

What is Premalkumar Patwa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Premalkumar Patwa enrolled in Medicare?

Yes. Premalkumar Patwa 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.

When was this NPI record last updated?

The NPPES record for Premalkumar Patwa was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.