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AJAY BANKIM PATEL NP
NPI 1568830529
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since September 08, 2015PECOS EnrolledAccepts Medicare Assignment
5000 FALLS OF NEUSE RD STE 300, RALEIGH, NC 27609(919) 865-8710(919) 256-0772 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Nov 20, 2017, Sep 20, 2016 and 1 more (4 updates tracked since 2015).

About Ajay Bankim Patel Np NPPES

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

AJAY BANKIM PATEL NP (NPI 1568830529) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (5008864) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Francisco School Of Medicine (2016).

NPPES Registry Identity

NPI1568830529
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameAJAY BANKIM PATELCredential: NP
Location Address5000 FALLS OF NEUSE RD STE 300Raleigh, NC 27609-5480
Mailing Address5000 Falls Of Neuse Rd Ste 300Raleigh, NC 27609-5480 · (919) 865-8710 · Fax (919) 977-9760
Phone(919) 865-8710
Fax(919) 256-0772
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2016
Enumeration DateSeptember 8, 2015
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1568830529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5008864
5000 FALLS OF NEUSE RD STE 300, Raleigh, NC 27609
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12505 S Mebane St Ste A-BBurlington, NC 27215-6385 · Phone (336) 223-0444 · Fax (336) 223-0449
Location 26026 Six Forks RdRaleigh, NC 27609-3899 · Phone (919) 865-8710 · Fax (919) 977-9760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Ajay Bankim Patel Np 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 ID547540619
PECOS Enrollment IDI20161206002557
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 Reassignment

Medicare enrollment records show Ajay Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Easter Seals Ucp North Carolina & Virginia, Inc.
Same address
Community/Behavioral Health
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 71 clinicians in this Medicare group
NPI 1306167713 (919) 865-8710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

GABRIELLA NICOLE VON VAJNA LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
TIFFANY RANELL SNEAD LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
KATHRYN CHRISTINA LANE LCMHC
Counselor (Mental Health)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
SAMANTHA JEAN LEGG LCMHC
Counselor (Mental Health)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
BROOKE HALEY BATES LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
SHAKERA TY'ICE HEPBURN
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Community/Behavioral Health
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
ANDREW GORDON MCCULLAGH LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710

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 Ajay Patel's NPI number?

The NPI number for Ajay Patel is 1568830529. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Ajay Patel located?

Ajay Patel practices at 5000 Falls Of Neuse Rd Ste 300, Raleigh, NC 27609. The listed phone number is (919) 865-8710.

What is Ajay Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ajay Patel enrolled in Medicare?

Yes. Ajay 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 organization bills Medicare for Ajay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Patel reassigns Medicare benefits to Easter Seals Ucp North Carolina & Virginia, Inc. (Raleigh, NC). The 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 Ajay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Patel accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Ajay 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.

When was this NPI record last updated?

The NPPES record for Ajay Patel was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.