1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Internal Medicine
  6. NPI Profile

BHAVINKUMAR VIJAYBHAI PATEL MD
NPI 1578829313
Internal Medicine in Charlotte, NC

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
101 E W T HARRIS BLVD, CHARLOTTE, NC 28262(704) 863-9850 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, May 10, 2023, Mar 14, 2023 and 58 more (61 updates tracked since 2016).

About Bhavinkumar Vijaybhai Patel Md NPPES

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

BHAVINKUMAR VIJAYBHAI PATEL MD (NPI 1578829313) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2016-01312) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1578829313
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBHAVINKUMAR VIJAYBHAI PATELCredential: MD
Location Address101 E W T HARRIS BLVDCharlotte, NC 28262-3485
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 5, 2012
Last NPPES UpdateJuly 17, 202461 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1578829313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2016-01312
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2016-01312 (NC)
101 E W T HARRIS BLVD, Charlotte, NC 28262
Open in Google Maps ↗

Secondary Practice Location 1

Location 11237 Harding Pl, Ste 2400Charlotte, NC 28204 · Phone (704) 304-5760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Bhavinkumar Vijaybhai 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 ID7012202054
PECOS Enrollment IDI20160830000368
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 11

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
435 services127 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
124 services111 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
96 services93 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
91 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
79 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$47.57 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$13.46 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$64.31 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers25 claims25 services$20.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHIBIN THOMAS JACOB MD
Internal Medicine (Pulmonary Disease)
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-5847
GEOFFREY ANDREW ROSE MD
Internal Medicine (Cardiovascular Disease)
101 E W T HARRIS BLVD, STE 1213
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-1950
BRYAN C. ADAMS MD
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
AMANDA L. MCDOWELL IVEY MD
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
ANDY YOUNG JIN KIM NP
Nurse Practitioner
101 E W T HARRIS BLVD
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-9850
DR. KATHLEEN MARIE REARDON MD
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
JOHN STUART SALMON MD
Internal Medicine (Hematology)
101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-6160
RICHARD BOESEL MD
Obstetrics & Gynecology
101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0858

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 Bhavinkumar Patel's NPI number?

The NPI number for Bhavinkumar Patel is 1578829313. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Bhavinkumar Patel located?

Bhavinkumar Patel practices at 101 E W T Harris Blvd, Charlotte, NC 28262. The listed phone number is (704) 863-9850.

What is Bhavinkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bhavinkumar Patel enrolled in Medicare?

Yes. Bhavinkumar 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 Bhavinkumar Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Bhavinkumar 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 Bhavinkumar Patel affiliated with any hospitals?

According to CMS data, Bhavinkumar Patel is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Bhavinkumar Patel was last updated on July 17, 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.