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DR. PARTHIV B PATEL D.O
NPI 1649419714
Orthopaedic Surgery - Sports Medicine in Hillsdale, MI

Active since February 13, 2009PECOS EnrolledAccepts Medicare Assignment
61 W CARLETON RD, HILLSDALE, MI 49242(517) 439-5411 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2024, Nov 6, 2023 (2 updates tracked since 2023).

About Dr. Parthiv B Patel D.o NPPES

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

DR. PARTHIV B PATEL D.O (NPI 1649419714) is an individual sports medicine provider in Hillsdale, Michigan, licensed in Michigan (5101021461) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Mercyhealth Hospital & Physician Clinic-crystal La, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649419714
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. PARTHIV B PATELCredential: D.O
Location Address61 W CARLETON RDHillsdale, MI 49242-1201
Mailing Address168 S Howell StHillsdale, MI 49242-2081 · (517) 398-2639
Phone(517) 439-5411
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 13, 2009
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1649419714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in MI · 5101021461✔ Licensed in IL · 036131589
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 069925 (GA), 036131589 (IL)
61 W CARLETON RD, Hillsdale, MI 49242
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12300 Manchester Expy # A, Suite 101AColumbus, GA 31904-6802 · Phone (706) 322-6646 · Fax (706) 322-2891
Location 2875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500 · Fax (779) 220-5184

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare, MercyCare Health Plans.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. Parthiv B Patel D.o 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 ID3274767090
PECOS Enrollment IDI20241227001183
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

3

Medicare enrollment records show Parthiv Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hillsdale Community Health Center
0.6 mi
Rural Health
240 W CARLETON RD
Hillsdale, MI 49242
  • Reassigned Medicare billing, Michigan enrollment
  • 108 clinicians in this Medicare group
NPI 1952951014 (517) 437-7040
Mercy Harvard Hospital Inc
207 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431
Mercy Health System Corporation
231 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services31 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services20 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.
23 services21 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
18 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mercyhealth Hospital & Physician Clinic-Crystal La

Acute Care Hospitals · Crystal Lake, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140308
Location875 S Route 31Crystal Lake, IL 60014 · Mc Henry County
Emergency services

Mercy Harvard Hospital

Critical Access Hospitals · Harvard, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141335
Location901 S Grant StreetHarvard, IL 60033 · Mc Henry County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$86.46 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 3

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

MRS. ALYSSA RENEE HARTLEY FNP-C
Nurse Practitioner (Family)
61 W CARLETON RD
HILLSDALE, MI 49242
Hillsdale County (517) 439-5411
BARRY J COLLINS DO PLLC
Orthopaedic Surgery
61 W CARLETON RD
HILLSDALE, MI 49242
Hillsdale County (517) 439-5411
DR. BARRY J COLLINS D.O.
Orthopaedic Surgery
61 W CARLETON RD
HILLSDALE, MI 49242
Hillsdale County (517) 439-5411

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 Parthiv Patel's NPI number?

The NPI number for Parthiv Patel is 1649419714. It was assigned to this individual provider in the NPPES registry on February 13, 2009.

Where is Parthiv Patel located?

Parthiv Patel practices at 61 W Carleton Rd, Hillsdale, MI 49242. The listed phone number is (517) 439-5411.

What is Parthiv Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Parthiv Patel enrolled in Medicare?

Yes. Parthiv 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 Parthiv Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parthiv Patel reassigns Medicare benefits to 3 organizations: Hillsdale Community Health Center (Hillsdale, MI), Mercy Harvard Hospital Inc (Harvard, IL) and Mercy Health System Corporation (Janesville, WI). 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 Parthiv Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parthiv Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Parthiv 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 Parthiv Patel affiliated with any hospitals?

According to CMS data, Parthiv Patel is affiliated with Mercyhealth Hospital & Physician Clinic-Crystal La, Mercy Harvard Hospital and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Parthiv Patel was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.