DR. ANKUR ARVIND PATEL M.D.
NPI 1649447616
Internal Medicine in Atlanta, GA

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1000 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 851-8000 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ankur Arvind Patel M.d. NPPES

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

DR. ANKUR ARVIND PATEL M.D. (NPI 1649447616) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (70701) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1649447616
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANKUR ARVIND PATELCredential: M.D.
Location Address1000 JOHNSON FY RD NEAtlanta, GA 30342-1611
Mailing Address1000 Johnson Fy Rd NeAtlanta, GA 30342-1611 · (404) 851-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 9, 2008
Last NPPES UpdateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1649447616 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 · 70701
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.
1000 JOHNSON FY RD NE, Atlanta, GA 30342

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

Dr. Ankur Arvind 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 ID7113195298
PECOS Enrollment IDI20131118001312
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 Ankur Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 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 3

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.
140 services29 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.
117 services26 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.
30 services26 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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.

Midwife
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Pathology (Anatomic Pathology)
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiology
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Urology
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Psychiatry & Neurology (Neurology)
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Pharmacist (Oncology)
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Nurse Anesthetist, Certified Registered
1000 JOHNSON FY RD NE
ATLANTA, GA 30342
Dietitian, Registered
1000 JOHNSON FY RD NE
ATLANTA, GA 30342

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 Ankur Patel's NPI number?

The NPI number for Ankur Patel is 1649447616. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Ankur Patel located?

Ankur Patel practices at 1000 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Ankur Patel's specialty?

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

Is Ankur Patel enrolled in Medicare?

Yes. Ankur 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 Ankur Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ankur Patel reassigns Medicare benefits to 2 organizations: North Atlanta Professional Services LLC (Atlanta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, 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 Ankur Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ankur Patel accept?

Health plans from Oscar Health list Ankur 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 Ankur Patel affiliated with any hospitals?

According to CMS data, Ankur Patel is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ankur Patel was last updated on October 20, 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.