SUMIR SURESH PATEL MD
NPI 1811224017
Radiology - Diagnostic Radiology in Atlanta, GA
About Sumir Suresh Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMIR SURESH PATEL MD (NPI 1811224017) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Georgia (073449) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Emory University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Sumir Suresh 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sumir Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Homerville, GA 31634
- Reassigned Medicare billing, Georgia enrollment
- 96 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 34
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
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 Sumir Patel's NPI number?
The NPI number for Sumir Patel is 1811224017. It was assigned to this individual provider in the NPPES registry on November 9, 2009.
Where is Sumir Patel located?
Sumir Patel practices at 5665 Peachtree Dunwoody Road Department Of Radiology, Emory St. Joseph's Hospital, Atlanta, GA 30342. The listed phone number is (678) 474-7158.
What is Sumir Patel's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Sumir Patel enrolled in Medicare?
Yes. Sumir 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 Sumir Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumir Patel reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Specialty Associates, LLC (Lagrange, GA) and Clinch County Hospital Authority (Homerville, GA). 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 Sumir Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumir Patel accept?
Health plans from Oscar Health list Sumir 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 Sumir Patel affiliated with any hospitals?
According to CMS data, Sumir Patel is affiliated with Emory Decatur Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc, Emory Hillandale Hospital and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Sumir Patel was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.