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ARPAN KAUSHIKA PATEL M.D.
NPI 1609118173
Internal Medicine in Atlanta, GA

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 605-5000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Jun 17, 2019, Mar 21, 2018 and 4 more (7 updates tracked since 2016).

About Arpan Kaushika Patel M.d. NPPES

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

ARPAN KAUSHIKA PATEL M.D. (NPI 1609118173) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (75648) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609118173
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameARPAN KAUSHIKA PATELCredential: M.D.
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing Address2727 Paces Ferry Rd Se Ste 1-1100Atlanta, GA 30339-6151 · (470) 271-3418
Phone(404) 605-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 22, 2013
Last NPPES UpdateSeptember 11, 20257 updates tracked since enumeration
✔ NPI 1609118173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 75648
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.
1968 PEACHTREE RD NW, Atlanta, GA 30309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Arpan Kaushika 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 ID5496995698
PECOS Enrollment IDI20160922000900
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

2

Medicare enrollment records show Arpan Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Hospitalist Physicians LLC
23 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500
24 On Physicians, PC
55 mi
Hospitalist
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 343 clinicians in this Medicare group
NPI 1912956251 (800) 923-2247

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 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.

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.
349 services171 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.
180 services97 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.
161 services159 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.
52 services51 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%37 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers32 claims32 services$16.26 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 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
6 suppliers40 claims40 services$75.08 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.

TRACY PURCELL NICHOLAS NP
Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Fulton County (404) 605-4602
JINAL ACHYUTKUMAR KHAMAR CAA
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 605-5000
BRITTANY R BARRON
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 451-0960
ELIZABETH ELOISE COTTEN PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 367-3014
DEBORA LOU COURSEY-PRAH MD
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Fulton County (404) 605-5000
CAROLINE MCCOY ANP-BC
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Fulton County (404) 605-4358
CHARITA MERCHANT CRNA
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (678) 216-0771
TAYLOR JONES PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (470) 788-1010

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 Arpan Patel's NPI number?

The NPI number for Arpan Patel is 1609118173. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Arpan Patel located?

Arpan Patel practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-5000.

What is Arpan Patel's specialty?

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

Is Arpan Patel enrolled in Medicare?

Yes. Arpan 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 Arpan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arpan Patel reassigns Medicare benefits to 2 organizations: Piedmont Hospitalist Physicians LLC (Stockbridge, GA) and 24 On Physicians, PC (Rome, GA). 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 Arpan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arpan Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Arpan 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 Arpan Patel affiliated with any hospitals?

According to CMS data, Arpan Patel is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Arpan Patel was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.