ASHA K PATEL M.D.
NPI 1619297686
Internal Medicine in Panama City, FL

Active since June 01, 2010PECOS EnrolledAccepts Medicare Assignment
504 N MACARTHUR AVE, PANAMA CITY, FL 32401(850) 769-2158(850) 785-9220 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2019, Oct 2, 2018, Jul 1, 2016 (3 updates tracked since 2016).

About Asha K Patel M.d. NPPES

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

ASHA K PATEL M.D. (NPI 1619297686) is an individual internal medicine provider in Panama City, Florida, licensed in Alabama (35163) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619297686
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameASHA K PATELCredential: M.D.
Location Address504 N MACARTHUR AVEPanama City, FL 32401-3636
Mailing Address810 Saint Vincents DrBirmingham, AL 35205-1601 · (205) 939-7000 · Fax (850) 785-9220
Fax(850) 785-9220
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 1, 2010
Last NPPES UpdateJanuary 22, 20193 updates tracked since enumeration
✔ NPI 1619297686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 35163
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 · NephrologyTaxonomy 207RN0300X · License 35163 (AL), ME137929 (FL)
504 N MACARTHUR AVE, Panama City, FL 32401

Other Identifiers 1

OtherME137929FL · Department Of Health

Accepted 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

Asha K 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 ID244555043
PECOS Enrollment IDI20160719000929
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

6

Medicare enrollment records show Asha Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
504 N MACARTHUR AVE
Panama City, FL 32401
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Richard F Walker Jr MD Nephrology Associates PA
  • 15 clinicians in this Medicare group
Critical Access
2600 HOSPITAL DRIVE
Bonifay, FL 32425
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
Nephrology
3570 GRANDVIEW PKWY STE 101
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 6 clinicians in this Medicare group
Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Urgent Care
4100 MCCLELLAN BLVD
Anniston, AL 36201
  • Reassigned Medicare billing, Alabama enrollment
  • 78 clinicians in this Medicare group
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Alabama enrollment
  • 229 clinicians in this Medicare group

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 8

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 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.
259 services100 patients
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.
121 services49 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
57 services57 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.
55 services54 patients
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.
41 services36 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
29 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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
3 suppliers26 claims26 services$15.23 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
3 suppliers38 claims38 services$75.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.73 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 11

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

Nurse Practitioner (Family)
504 N MACARTHUR AVE, NEPHROLOGY ASSOCIATES
PANAMA CITY, FL 32401
Nurse Practitioner (Family)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Nurse Practitioner (Family)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Nurse Practitioner (Acute Care)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401

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 Asha Patel's NPI number?

The NPI number for Asha Patel is 1619297686. It was assigned to this individual provider in the NPPES registry on June 1, 2010.

Where is Asha Patel located?

Asha Patel practices at 504 N Macarthur Ave, Panama City, FL 32401. The listed phone number is (850) 769-2158.

What is Asha Patel's specialty?

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

Is Asha Patel enrolled in Medicare?

Yes. Asha 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 Asha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asha Patel reassigns Medicare benefits to 6 organizations: Nephrology Associates PA (Panama City, FL), Holmes County Hospital Corp (Bonifay, FL), Southern Kidney Care PC (Birmingham, AL), University Of Alabama Health Services Foundation, PC (Birmingham, AL), Southern Immediate Care, LLC (Anniston, AL) and 1 more organization, listed in the Medicare section above. 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 Asha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asha Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Asha 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 Asha Patel was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.