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UJWAL PATEL MD
NPI 1780241430
Family Medicine in Cumming, GA

Active since May 28, 2019PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
610 PEACHTREE PKWY STE 130, CUMMING, GA 30041(770) 205-2804(770) 205-2854 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Sep 17, 2024, May 28, 2019 (3 updates tracked since 2019).

About Ujwal Patel Md NPPES

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

UJWAL PATEL MD (NPI 1780241430) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (93544) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780241430
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameUJWAL PATELCredential: MD
Location Address610 PEACHTREE PKWY STE 130Cumming, GA 30041-9778
Mailing Address1700 Northside Drive Nw, Suite A7 Pmb 1218Atlanta, GA 30318 · (678) 667-8791
Phone(770) 205-2804
Fax(770) 205-2854
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 28, 2019
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1780241430 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 · 93544✔ Licensed in IA · R-11459
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.
610 PEACHTREE PKWY STE 130, Cumming, GA 30041
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1882 Ponce De Leon Ave NEAtlanta, GA 30306-4268 · Phone (229) 977-3614
Location 21700 Northside Drive NW, Suite A7 PMB 1218Atlanta, GA 30318 · Phone (678) 667-8791

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Ujwal 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 ID7012240963
PECOS Enrollment IDI20221102000339
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 6

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
35 services18 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.
32 services32 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
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
20 services20 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
20 services20 patients

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
$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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANY COHEN-SADAN
Family Medicine
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Forsyth County (770) 205-2804
AMANDA CLARK PA-C
Physician Assistant (Surgical)
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Forsyth County (770) 205-2804
MARYANN FORBES NP-C
Nurse Practitioner (Family)
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Forsyth County (706) 205-2804
DR. CURT ANDREW MISKO JR. DO
Family Medicine
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Forsyth County (770) 205-2804

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 Ujwal Patel's NPI number?

The NPI number for Ujwal Patel is 1780241430. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Ujwal Patel located?

Ujwal Patel practices at 610 Peachtree Pkwy Ste 130, Cumming, GA 30041. The listed phone number is (770) 205-2804.

What is Ujwal Patel's specialty?

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

Is Ujwal Patel enrolled in Medicare?

Yes. Ujwal 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 Ujwal Patel accept?

Health plans from Alliant Health Plans, Inc. list Ujwal 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 Ujwal Patel was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.