GAUTAM GHANSHYAMBHAI PATEL MD
NPI 1679764054
Hospitalist in Matthews, NC
About Gautam Ghanshyambhai Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAUTAM GHANSHYAMBHAI PATEL MD (NPI 1679764054) is an individual hospitalist provider in Matthews, North Carolina, licensed in North Carolina (2010-01202) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Gautam Ghanshyambhai Patel Md 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.
Medicare Billing Reassignments
13Medicare enrollment records show Gautam Patel reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Medical Group, LLC
- 2,998 clinicians in this Medicare group
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 649 clinicians in this Medicare group
Charlotte, NC 28215
- Reassigned Medicare billing, North Carolina enrollment
- 703 clinicians in this Medicare group
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
- 422 clinicians in this Medicare group
Charlotte, NC 28278
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
Davidson, NC 28036
- Reassigned Medicare billing, North Carolina enrollment
- 54 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- 686 clinicians in this Medicare group
Statesville, NC 28625
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 719 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 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Iredell Memorial Hospital Inc
Acute Care Hospitals · Statesville, NCNovant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCNovant Health Matthews Medical Center
Acute Care Hospitals · Matthews, NCNovant Health Ballantyne Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MATTHEWS, NC 28105
MATTHEWS, NC 28105
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 Gautam Patel's NPI number?
The NPI number for Gautam Patel is 1679764054. It was assigned to this individual provider in the NPPES registry on August 9, 2007.
Where is Gautam Patel located?
Gautam Patel practices at 1500 Matthews Township Pkwy, Matthews, NC 28105. The listed phone number is (704) 384-5416.
What is Gautam Patel's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Gautam Patel enrolled in Medicare?
Yes. Gautam 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 Gautam Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Patel reassigns Medicare benefits to 13 organizations: Novant Medical Group, Inc. (Matthews, NC), The Presbyterian Hospital (Matthews, NC), Novant Health Matthews Medical Center LLC (Matthews, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC), Novant Health Ballantyne Medical Center LLC (Charlotte, NC) and 8 more organizations, 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 Gautam Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gautam Patel accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare list Gautam 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 Gautam Patel affiliated with any hospitals?
According to CMS data, Gautam Patel is affiliated with Iredell Memorial Hospital Inc, Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Ballantyne Medical Center.
When was this NPI record last updated?
The NPPES record for Gautam Patel was last updated on June 14, 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.
# Gautam Ghanshyambhai Patel, MD · NPI 1679764054
Hospitalist physician in Matthews, North Carolina. Individual provider, active in the CMS NPPES registry since August 9, 2007.
## Identity
- **NPI:** 1679764054 (Entity type: Individual)
- **Enumerated:** August 9, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2010-01202 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105-4656
- **Phone:** (704) 384-5416 · **Fax:** (704) 384-5992
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Novant Medical Group, Inc. (NPI 1033566526, Matthews, NC); The Presbyterian Hospital (NPI 1861752586, Matthews, NC); Novant Health Matthews Medical Center LLC (NPI 1184782419, Matthews, NC); Novant Health Mint Hill Medical Center, LLC (NPI 1063910404, Charlotte, NC); Novant Health Ballantyne Medical Center LLC (NPI 1760190607, Charlotte, NC); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 14, 2023
- **Other identifiers:** Other NC0630D (NC); Medicaid 1679764054 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1679764054) · Data from the CMS NPPES public registry.