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AMISHA PATEL MD
NPI 1710449400
Pediatrics in Kennesaw, GA

Active since April 02, 2019PECOS Enrolled
5150 STILESBORO RD NW, KENNESAW, GA 30152(770) 424-8222 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2026, Sep 13, 2022, Apr 2, 2019 (3 updates tracked since 2019).

About Amisha Patel Md NPPES

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

AMISHA PATEL MD (NPI 1710449400) is an individual pediatrics provider in Kennesaw, Georgia, licensed in Georgia (98275) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arnold, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710449400
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMISHA PATELCredential: MD
Location Address5150 STILESBORO RD NWKennesaw, GA 30152-7744
Mailing Address707 Boxwood Manor CtManchester, MO 63021-7185 · (636) 208-3570
Phone(770) 424-8222
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1710449400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 98275✔ Licensed in MO · 2022033353
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5150 STILESBORO RD NW, Kennesaw, GA 30152
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Secondary Practice Location 1

Location 13530 Jeffco BlvdArnold, MO 63010-6101 · Phone (314) 467-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amisha Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709260656
PECOS Enrollment IDI20250925000810
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 Reassignment

Medicare enrollment records show Amisha Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
0.2 mi
Pediatrics
5150 STILESBORO RD NW, SUITE 220
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1255637211 (770) 424-8222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30152 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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.

PATRICIA PHILLIPS SLP
Speech-Language Pathologist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
BALANCED BODY WELLNESS CENTRE, LLC
Preferred Provider Organization
5150 STILESBORO RD NW, SUITE 420
KENNESAW, GA 30152
Cobb County (770) 425-6068
ELIZABETH POULSEN
Occupational Therapist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
MR. MARK G STEVENS PT
Physical Therapist
5150 STILESBORO RD NW
KENNESAW, GA 30152
Cobb County (678) 354-6171
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
5150 STILESBORO RD NW, SUITE 220
KENNESAW, GA 30152
Cobb County (770) 424-8222
ACWORTH FAMILY MEDICINE, PC
Clinic/Center (Primary Care)
5150 STILESBORO RD NW, SUITE 120
KENNESAW, GA 30152
Cobb County (678) 354-0230
JANNA HYDE
Occupational Therapist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
DR. MANDY PHILLIPS RUDDELL
Counselor (Professional)
5150 STILESBORO RD NW, SUITE 100
KENNESAW, GA 30152
Cobb County (404) 680-3032

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 Amisha Patel's NPI number?

The NPI number for Amisha Patel is 1710449400. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Amisha Patel located?

Amisha Patel practices at 5150 Stilesboro Rd NW, Kennesaw, GA 30152. The listed phone number is (770) 424-8222.

What is Amisha Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amisha Patel enrolled in Medicare?

Yes. Amisha Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amisha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amisha Patel reassigns Medicare benefits to Wellstar Medical Group, LLC (Kennesaw, GA). The 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 Amisha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amisha Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Amisha 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.

When was this NPI record last updated?

The NPPES record for Amisha Patel was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.