DR. VISHAL B PAREKH MD
NPI 1689872475
Hospitalist in Gainesville, GA

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2020, Oct 23, 2020, Jul 31, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Vishal B Parekh Md NPPES

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

DR. VISHAL B PAREKH MD (NPI 1689872475) is an individual hospitalist provider in Gainesville, Georgia, licensed in Georgia (059489) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689872475
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. VISHAL B PAREKHCredential: MD
Location Address743 SPRING ST NEGainesville, GA 30501
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 3, 2007
Last NPPES UpdateDecember 4, 20205 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
NPI 1689872475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 059489
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 059489 (GA)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 059489 (GA)
743 SPRING ST NE, Gainesville, GA 30501

Secondary Practice Locations 2

Location 11200 Northside Forsyth DrCumming, GA 30041-7659 · Phone (770) 844-3200 · Fax (404) 851-6325
Location 2743 Spring St NEGainesville, GA 30501 · Phone (770) 219-9000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vishal B Parekh 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.

PECOS PAC ID8123115300
PECOS Enrollment IDI20071105000370
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.

Areas of Expertise CMS Part B claims 6

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 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.
1,514 services234 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.
234 services108 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
137 services122 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
98 services96 patients
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.
86 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%99 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.75 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 20

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

Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hospitalist
743 SPRING ST NE
GAINESVILLE, GA 30501
Pediatrics (Neonatal-Perinatal Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501

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 Vishal Parekh's NPI number?

The NPI number for Vishal Parekh is 1689872475. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Vishal Parekh located?

Vishal Parekh practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Vishal Parekh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vishal Parekh enrolled in Medicare?

Yes. Vishal Parekh 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.

What insurance does Vishal Parekh accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vishal Parekh 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 Vishal Parekh affiliated with any hospitals?

According to CMS data, Vishal Parekh is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Vishal Parekh was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.