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NIRAV P PATEL MD
NPI 1710541636
Internal Medicine - Cardiovascular Disease in Cumming, GA

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041(708) 443-2007(833) 337-8221 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2026, Jun 3, 2025, Jun 1, 2023 and 1 more (4 updates tracked since 2019).

About Nirav P Patel Md NPPES

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

NIRAV P PATEL MD (NPI 1710541636) is an individual cardiovascular disease provider in Cumming, Georgia, licensed in Georgia (104787) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710541636
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNIRAV P PATELCredential: MD
Location Address1200 NORTHSIDE FORSYTH DRCumming, GA 30041-7659
Mailing Address1200 Northside Forsyth DrCumming, GA 30041-7659 · (708) 443-2007 · Fax (833) 337-8221
Phone(708) 443-2007
Fax(833) 337-8221
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 25, 2019
Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1710541636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 104787
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nirav P 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 ID2365897642
PECOS Enrollment IDI20250725002752
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.

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

SARAH GARVIN PHARMD
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
COLTEN RYAN PHARMD
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
COLEMAN UNDERHILL
Dietitian, Registered
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (404) 202-9390
MRS. RHONDA RENEE JONES R.PH.
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3290
RAGHUNATH R KATRAGADDA MD
Internal Medicine (Cardiovascular Disease)
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
DR. ARINZE HECTOR DURU M.D
Internal Medicine
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
DR. JEFFREY DESALVO M.D.
Hospitalist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
ERIC STEVEN CROWSON
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3396

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1710541636. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Nirav Patel located?

Nirav Patel practices at 1200 Northside Forsyth Dr, Cumming, GA 30041. The listed phone number is (708) 443-2007.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav 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.

What insurance does Nirav Patel accept?

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

According to CMS data, Nirav Patel is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.