ARPAN PATEL
NPI 1790102812
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Lancaster, PA

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
217 HARRISBURG AVE, LANCASTER, PA 17603(717) 544-8300(717) 544-8265 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Aug 5, 2021, Jun 9, 2020 and 2 more (5 updates tracked since 2018).

About Arpan Patel NPPES

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

ARPAN PATEL (NPI 1790102812) is an individual advanced heart failure and transplant cardiology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (OS021276) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1790102812
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameARPAN PATEL
Location Address217 HARRISBURG AVELancaster, PA 17603-2964
Mailing Address217 Harrisburg AveLancaster, PA 17603-2962 · (313) 434-6923
Fax(717) 544-8265
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateNovember 8, 20215 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1790102812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in PA · OS021276
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License OS021276 (PA)
217 HARRISBURG AVE, Lancaster, PA 17603

Accepted 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

Arpan Patel 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 ID7911229190
PECOS Enrollment IDI20210706002480
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 15

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.
310 services226 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
228 services184 patients
Evaluation of implantable heart and blood vessel monitoring system 93290
An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.
107 services90 patients
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.
83 services73 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.
59 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
56 services22 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier14 claims14 services$18.28 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims98 services$35.58 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier14 claims540 services$1.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
217 HARRISBURG AVE, SUITE 200
LANCASTER, PA 17603
Internal Medicine (Clinical Cardiac Electrophysiology)
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH
LANCASTER, PA 17603
Nurse Practitioner (Family)
217 HARRISBURG AVE
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE
LANCASTER, PA 17603
Nurse Practitioner (Gerontology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE, THE HEART GROUP, LTD.
LANCASTER, PA 17603

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 Arpan Patel's NPI number?

The NPI number for Arpan Patel is 1790102812. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Arpan Patel located?

Arpan Patel practices at 217 Harrisburg Ave, Lancaster, PA 17603. The listed phone number is (717) 544-8300.

What is Arpan Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Arpan Patel enrolled in Medicare?

Yes. Arpan 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 Arpan Patel accept?

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

According to CMS data, Arpan Patel is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Arpan Patel was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.