DR. TARAL NIRAJ PATEL
NPI 1790419364
Optometrist in Philadelphia, PA

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Taral Niraj Patel NPPES

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

DR. TARAL NIRAJ PATEL (NPI 1790419364) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG0003909) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790419364
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TARAL NIRAJ PATEL
Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323
Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-6173
Fax(215) 276-1329
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2022
Last NPPES UpdateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1790419364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG0003909
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1200 W GODFREY AVE, Philadelphia, PA 19141

Secondary Practice Location 1

Location 17630 Germantown AvePhiladelphia, PA 19118-3529 · Phone (215) 276-6000 · Fax (215) 276-1329

Other Identifiers 1

OtherOEG003909PA · License

Accepted 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

Dr. Taral Niraj 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 ID3779967062
PECOS Enrollment IDI20230712002569
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 Reassignments

3

Medicare enrollment records show Taral Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
21001 N TATUM BLVD STE 18
Phoenix, AZ 85050
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
Low Vision Rehabilitation
1830 S ALMA SCHOOL RD STE 131
Mesa, AZ 85210
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
Optometrist
2040 E RIO SALADO PKWY STE 120
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 139 clinicians in this Medicare group

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
120 services116 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
80 services14 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.
56 services56 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.
42 services42 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.
24 services19 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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Occupational Therapist
1200 W GODFREY AVE, ADMINISTRATION SUITE
PHILADELPHIA, PA 19141

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 Taral Patel's NPI number?

The NPI number for Taral Patel is 1790419364. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Taral Patel located?

Taral Patel practices at 1200 W Godfrey Ave, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.

What is Taral Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Taral Patel enrolled in Medicare?

Yes. Taral 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 organizations bill Medicare for Taral Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taral Patel reassigns Medicare benefits to 3 organizations: Family First Vision Care Arizona PLLC (Phoenix, AZ), Carlos L Grandela O.D. Plc (Mesa, AZ) and Nationwide Optometry P.C. (Tempe, AZ). Each 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 Taral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taral Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 10 other insurers list Taral 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 Taral Patel was last updated on July 12, 2022. 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.