1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Pediatrics
  6. NPI Profile

DR. NIRAV RAMAN PATEL M.D.
NPI 1639339336
Pediatrics - Pediatric Gastroenterology in Atlanta, GA

Active since June 16, 2008PECOS Enrolled
5445 MERIDIAN MARKS RD STE 490, ATLANTA, GA 30342(404) 843-6320(404) 843-6321 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nirav Raman Patel M.d. NPPES

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

DR. NIRAV RAMAN PATEL M.D. (NPI 1639339336) is an individual pediatric gastroenterology provider in Atlanta, Georgia, licensed in Georgia (066615) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639339336
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. NIRAV RAMAN PATELCredential: M.D.
Location Address5445 MERIDIAN MARKS RD STE 490Atlanta, GA 30342-4794
Mailing Address933 Johnson Fy Rd Ne Ste D440Atlanta, GA 30342 · (404) 257-0799 · Fax (404) 256-5475
Phone(404) 843-6320
Fax(404) 843-6321
Sole ProprietorNo
Enumeration DateJune 16, 2008
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1639339336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in GA · 066615✔ Licensed in NY · 2378151✔ Licensed in SC · 31339
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
5445 MERIDIAN MARKS RD STE 490, Atlanta, GA 30342
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13795 Mansell RdAlpharetta, GA 30022-8247 · Phone (404) 257-0799 · Fax (404) 256-5475
Location 2993 Johnson Fy Rd NE Ste D440Atlanta, GA 30342-4780 · Phone (404) 257-0799 · Fax (404) 256-5475
Location 3833 Campbell Hill St NW Ste 340Marietta, GA 30060-1137 · Phone (404) 257-0799 · Fax (404) 256-5475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Dr. Nirav Raman Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nirav Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aga, LLC
9.5 mi
Gastroenterology
550 PEACHTREE ST NE STE 1600
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 190 clinicians in this Medicare group
NPI 1124064118 (404) 881-1094

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 30342 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.

Other Providers at the Same Location NPPES

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

DR. ASIYA KHAN SHAKIR M.D.
Pediatrics (Pediatric Gastroenterology)
5445 MERIDIAN MARKS RD STE 490
ATLANTA, GA 30342
Fulton County (404) 843-6320

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1639339336. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Nirav Patel located?

Nirav Patel practices at 5445 Meridian Marks Rd Ste 490, Atlanta, GA 30342. The listed phone number is (404) 843-6320.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nirav Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirav Patel reassigns Medicare benefits to Aga, LLC (Atlanta, GA). 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 Nirav Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nirav Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nirav 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 Nirav Patel was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.