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BHAVIKA RAJANIKANT PATEL M.D.
NPI 1770920258
Family Medicine in Kennesaw, GA

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
3895 CHEROKEE ST. NW #400, KENNESAW, GA 30144(678) 369-7755(844) 947-4544 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2024, Jul 21, 2022, Oct 28, 2019 and 3 more (6 updates tracked since 2016).

About Bhavika Rajanikant Patel M.d. NPPES

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

BHAVIKA RAJANIKANT PATEL M.D. (NPI 1770920258) is an individual family medicine provider in Kennesaw, Georgia, licensed in Georgia (76120) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770920258
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBHAVIKA RAJANIKANT PATELCredential: M.D.
Location Address3895 CHEROKEE ST. NW #400Kennesaw, GA 30144
Mailing Address3895 Cherokee St. Nw #400Kennesaw, GA 30144 · (678) 369-7755 · Fax (844) 947-4544
Phone(678) 369-7755
Fax(844) 947-4544
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateSeptember 30, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1770920258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 76120✔ Licensed in KS · 04-40376
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.

Secondary Practice Locations 2

Location 1901 SW Garfield AveTopeka, KS 66606-1670 · Phone (785) 354-9591 · Fax (785) 354-0523
Location 23422 Sixes Rd Ste 102ECanton, GA 30114-9120 · Phone (943) 202-7670 · Fax (470) 986-7143

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Bhavika Rajanikant Patel M.d. 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 ID4587895503
PECOS Enrollment IDI20191210003567
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 Bhavika Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
Internal Medicine
176 CHARLES HARDY PKWY, UNIT C
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1003112640 (678) 945-8200

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 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 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.
157 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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.

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 Bhavika Patel's NPI number?

The NPI number for Bhavika Patel is 1770920258. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Bhavika Patel located?

Bhavika Patel practices at 3895 Cherokee St. NW #400, Kennesaw, GA 30144. The listed phone number is (678) 369-7755.

What is Bhavika Patel's specialty?

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

Is Bhavika Patel enrolled in Medicare?

Yes. Bhavika 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 organization bills Medicare for Bhavika Patel's services?

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

What insurance does Bhavika Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Bhavika 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 Bhavika Patel affiliated with any hospitals?

According to CMS data, Bhavika Patel is affiliated with Northside Hospital Cherokee, Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Bhavika Patel was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.