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NAMRATA PATEL MD
NPI 1740278704
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3600 SPRUCE ST, 8TH FLOOR, PHILADELPHIA, PA 19104(215) 662-6003 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2016, Jan 20, 2016 (2 updates tracked since 2016).

About Namrata Patel Md NPPES

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

NAMRATA PATEL MD (NPI 1740278704) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD 072636L) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Maryland School Of Medicine (1998).

NPPES Registry Identity

NPI1740278704
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameNAMRATA PATELCredential: MD
Location Address3600 SPRUCE ST, 8TH FLOORPhiladelphia, PA 19104
Mailing Address3600 Spruce St, 8th FloorPhiladelphia, PA 19104 · (215) 662-6003
Phone(215) 662-6003
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1998
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 24, 20162 updates tracked since enumeration
✔ NPI 1740278704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD 072636L
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3600 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified079414
Medicaid1010107010001PA
Medicare UPINI07022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Namrata 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 ID941287379
PECOS Enrollment IDI20040702001052
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 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
300 services125 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
135 services66 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.
66 services17 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.
35 services30 patients
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.
32 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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
4 suppliers40 claims41 services$14.96 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$4.13 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
10 suppliers68 claims70 services$68.17 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims27 services$31.05 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers16 claims2,280 services$0.36 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers15 claims6,650 services$0.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Friedrich August 30, 2024

5/5
My father became at patient of Dr Namrata Patel in 2021 after we were recommended by another patient. Dr Patel is professional yet compassionate, knowledgeable, and very understanding. She gave him the answers he asked so many others for. The day my father passed Dr Patel called our home to offer condolences. She is an amazing Dr and she has our total respect. We need more like her!
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

JULIANA KIM CHOI MD
Dermatology
3600 SPRUCE ST, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6151
KAYLEE NACZI MS
Genetic Counselor, MS
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3205
KATHRYN CLAIRE BENTIVEGNA MD, MPH
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883
LAURA THERESA FERGUSON M.D.
Internal Medicine
3600 SPRUCE ST, 839 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
DR. MICAH GAMBOA PASCUAL MD
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883
NATALIA RODRIGUEZ
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. JESSICA BROWN-KORSAH MD
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883
SARA ISABELLE BANBURY
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883

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 Namrata Patel's NPI number?

The NPI number for Namrata Patel is 1740278704. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Namrata Patel located?

Namrata Patel practices at 3600 Spruce St 8th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-6003.

What is Namrata Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Namrata Patel enrolled in Medicare?

Yes. Namrata 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 Namrata Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Namrata 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 Namrata Patel affiliated with any hospitals?

According to CMS data, Namrata Patel is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Namrata Patel was last updated on March 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.