ASHISHKUMAR RANCHHODBHAI PATEL MD
NPI 1699290775
Orthopaedic Surgery in Du Bois, PA
About Ashishkumar Ranchhodbhai Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHISHKUMAR RANCHHODBHAI PATEL MD (NPI 1699290775) is an individual orthopaedic surgery provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD465993) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Ashishkumar Ranchhodbhai 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
2Medicare enrollment records show Ashishkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 17 clinicians in this Medicare group
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,182 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn Highlands Dubois
Acute Care Hospitals · Dubois, PAPenn Highlands Elk
Critical Access Hospitals · Saint Marys, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DU BOIS, PA 15801
DU BOIS, PA 15801
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 Ashishkumar Patel's NPI number?
The NPI number for Ashishkumar Patel is 1699290775. It was assigned to this individual provider in the NPPES registry on August 9, 2017.
Where is Ashishkumar Patel located?
Ashishkumar Patel practices at 145 Hospital Ave Ste 311, Du Bois, PA 15801. The listed phone number is (814) 375-6200.
What is Ashishkumar Patel's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Ashishkumar Patel enrolled in Medicare?
Yes. Ashishkumar 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 Ashishkumar Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashishkumar Patel reassigns Medicare benefits to 2 organizations: Dubois Regional Medical Center (Du Bois, PA) and Upmc Community Medicine, Inc. (Du Bois, PA). 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 Ashishkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ashishkumar Patel affiliated with any hospitals?
According to CMS data, Ashishkumar Patel is affiliated with Penn Highlands Dubois and Penn Highlands Elk.
When was this NPI record last updated?
The NPPES record for Ashishkumar Patel was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ashishkumar Ranchhodbhai Patel, MD · NPI 1699290775
Orthopaedic Surgery physician in Du Bois, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 9, 2017.
## Identity
- **NPI:** 1699290775 (Entity type: Individual)
- **Enumerated:** August 9, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD465993 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 145 HOSPITAL AVE STE 311, Du Bois, PA 15801-1465
- **Phone:** (814) 375-6200 · **Fax:** (814) 375-6452
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Dubois Regional Medical Center (NPI 1083727796, Du Bois, PA); Upmc Community Medicine, Inc. (NPI 1174187801, Du Bois, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** July 5, 2021
- **Other identifiers:** Medicaid 103569071 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699290775) · Data from the CMS NPPES public registry.