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DR. VIJAY C PATEL M.D.
NPI 1629033949
Internal Medicine in Springfield, MA

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
1038 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100(413) 735-1130 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Vijay C Patel M.d. NPPES

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

DR. VIJAY C PATEL M.D. (NPI 1629033949) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (81270) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1629033949
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VIJAY C PATELCredential: M.D.
Location Address1038 MAIN STSpringfield, MA 01103-2135
Mailing Address1038 Main StreetSpringfield, MA 01103-1120 · (413) 739-1100 · Fax (413) 735-1130
Phone(413) 739-1100
Fax(413) 735-1130
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1629033949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 81270
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.
1038 MAIN ST, Springfield, MA 01103
Open in Google Maps ↗

Other Identifiers 10

Medicaid1310097MA
Other3968488MA · Aetna
Other19311MA · Hne #
Other743468Connecticare
Other9720719MA · Cigna #
OtherMP0365571ARMA · Csr #
Other000000029989MA · Healthnet
Other0034745MA · Nhp #
Other04-08503MA · Evercare
OtherJ16223MA · Bc/bs #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Dr. Vijay C 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 ID8527014752
PECOS Enrollment IDI20050330000683
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 Vijay Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caring Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
1049 MAIN STREET
Springfield, MA 01103
  • Reassigned Medicare billing, Massachusetts enrollment
  • 34 clinicians in this Medicare group
NPI 1659476356 (413) 693-1007

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

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims48 services$5.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers15 claims26 services$1.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vijay Patel's NPI number?

The NPI number for Vijay Patel is 1629033949. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Vijay Patel located?

Vijay Patel practices at 1038 Main St, Springfield, MA 01103. The listed phone number is (413) 739-1100.

What is Vijay Patel's specialty?

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

Is Vijay Patel enrolled in Medicare?

Yes. Vijay 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 Vijay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Patel reassigns Medicare benefits to Caring Health Center, Inc. (Springfield, MA). 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 Vijay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Patel accept?

Health plans from Taro Health list Vijay 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 Vijay Patel affiliated with any hospitals?

According to CMS data, Vijay Patel is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Vijay Patel was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.