RAKESHKUMAR PATEL MD
NPI 1710343116
Family Medicine in Sevierville, TN

Q: What is Rakeshkumar Patel's NPI number?

The NPI number for Rakeshkumar Patel is 1710343116. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Rakeshkumar Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rakeshkumar Patel was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment

742 MIDDLE CREEK RD, SEVIERVILLE, TN 37862(865) 446-7000 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2018, Jan 14, 2016 (2 updates tracked since 2016).

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About Rakeshkumar Patel Md NPPES

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

RAKESHKUMAR PATEL MD (NPI 1710343116) is an individual family medicine provider in Sevierville, Tennessee, licensed in Tennessee (57723) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1710343116

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAKESHKUMAR PATELCredential: MD

Location Address742 MIDDLE CREEK RDSevierville, TN 37862

Mailing Address426 Avery Way Apt 9205Knoxville, TN 37922-4443 · (508) 524-4282 · Fax (865) 560-7339

Phone(865) 446-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 14, 2016

Last NPPES UpdateSeptember 5, 20182 updates tracked since enumeration

✔ NPI 1710343116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 57723

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

742 MIDDLE CREEK RD, Sevierville, TN 37862

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Secondary Practice Location 1

Location 14371 Narrow Lane Rd Ste 100Montgomery, AL 36116-2975 · Phone (334) 613-3680 · Fax (334) 613-3685

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Rakeshkumar 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.

PECOS PAC ID6507114428

PECOS Enrollment IDI20180808002280

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

Medicare enrollment records show Rakeshkumar Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Physician Services PC

41 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
1,085 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

Cookeville Hospitalist Group, PLLC

113 mi

Hospitalist

1 MEDICAL CENTER BLVD
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
107 clinicians in this Medicare group

NPI 1467133371 (931) 528-2541

App Of Tennessee Hm, PLLC

165 mi

Hospitalist

2835 HIGHWAY 231 N
Shelbyville, TN 37160

Reassigned Medicare billing, Tennessee enrollment
498 clinicians in this Medicare group

NPI 1396160768 (931) 685-5433

Saint Thomas Medical Partners

184 mi

Clinical Neuropsychologist

2021 CHURCH ST, STE. 102
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
1,304 clinicians in this Medicare group

NPI 1558506980 (615) 284-7555

Hospital Medicine Services Of Tennessee PC

236 mi

Hospitalist

600 WILSON CREEK RD
Lawrenceburg, IN 47025

Reassigned Medicare billing, Tennessee enrollment
394 clinicians in this Medicare group

NPI 1528433802 (812) 537-1010

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.

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.

358 services167 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.

227 services124 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.

185 services180 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.

38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37862 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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%97 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 3

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; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers24 claims25 services$17.41 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers34 claims34 services$914.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers33 claims36 services$82.24 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.

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