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RAJ PATEL MD
NPI 1790148211
Dermatology in Akron, OH

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
93.82/100
CMS Quality Rating
566 WHITE POND DR STE E, AKRON, OH 44320(330) 535-7100 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2020, Apr 1, 2016 (2 updates tracked since 2016).

About Raj Patel Md NPPES

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

RAJ PATEL MD (NPI 1790148211) is an individual dermatology provider in Akron, Ohio, licensed in Ohio (35.139826) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790148211
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRAJ PATELCredential: MD
Location Address566 WHITE POND DR STE EAkron, OH 44320-1116
Mailing Address566 White Pond Dr Ste EAkron, OH 44320-1116 · (330) 535-7100
Phone(330) 535-7100
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1790148211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OH · 35.139826
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
566 WHITE POND DR STE E, Akron, OH 44320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio 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

Raj 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 ID6709171119
PECOS Enrollment IDI20200701002028
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
772 services139 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.
490 services343 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
228 services169 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
164 services117 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
98 services91 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.
89 services61 patients

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44320 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

93.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.77
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
88%1,279 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%177 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 1,214 patients
Patients screened: 78% · 1,214 patients
54%79 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,402 patients4/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
95%21 patients
Tobacco Use and Help with Quitting Among Adolescents
100%273 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

JACQUELINE GRAHAM MD
Dermatology
566 WHITE POND DR STE E
AKRON, OH 44320
Summit County (330) 535-7100

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 Raj Patel's NPI number?

The NPI number for Raj Patel is 1790148211. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Raj Patel located?

Raj Patel practices at 566 White Pond Dr Ste E, Akron, OH 44320. The listed phone number is (330) 535-7100.

What is Raj Patel's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Raj Patel enrolled in Medicare?

Yes. Raj 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 Raj Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio, SummaCare and UnitedHealthcare list Raj 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 Raj Patel affiliated with any hospitals?

According to CMS data, Raj Patel is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Raj Patel was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.