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DR. SEEMA J PATEL M.D.
NPI 1821238940
Internal Medicine in Bayside, NY

Active since March 02, 2009PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
4401 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361(718) 380-1733 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seema J Patel M.d. NPPES

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

DR. SEEMA J PATEL M.D. (NPI 1821238940) is an individual internal medicine provider in Bayside, New York, licensed in New York (258887-1) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821238940
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEEMA J PATELCredential: M.D.
Location Address4401 FRANCIS LEWIS BLVDBayside, NY 11361-3028
Mailing Address4401 Francis Lewis BlvdBayside, NY 11361-3028
Phone(718) 380-1733
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 2, 2009
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1821238940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 258887-1
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4401 FRANCIS LEWIS BLVD, Bayside, NY 11361
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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

Dr. Seema J Patel M.d. 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 ID5597946954
PECOS Enrollment IDI20110218000389
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
229 services147 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.
163 services113 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.
82 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services51 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11361 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%99 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
2%44 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%191 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%259 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%162 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%83 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
74%191 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%179 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%162 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
96%79 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers34 claims69 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers14 claims15 services$1.06 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 18

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

DR. MICHAEL JOHN PAPAMICHAEL M.D.
Internal Medicine
4401 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 717-0280
DANIEL MARRERO M.D.
Internal Medicine (Cardiovascular Disease)
4401 FRANCIS LEWIS BLVD, SUITE L3A
BAYSIDE, NY 11361
Queens County (718) 423-3355
GREATER QUEENS PODIATRY PLLC
Podiatrist (Foot Surgery)
4401 FRANCIS LEWIS BLVD, L3-B
BAYSIDE, NY 11361
Queens County (718) 229-0222
DR. GIRISHKUMAR SONPAL M.D.
Internal Medicine (Rheumatology)
4401 FRANCIS LEWIS BLVD, SUITE L2A
BAYSIDE, NY 11361
Queens County (718) 445-0500
NICHOLAS C. KALOUDIS M.D. PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4401 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 224-3138
SAJI ABRAHAM M.B.B.S.
Internal Medicine (Cardiovascular Disease)
4401 FRANCIS LEWIS BLVD, SUITE L3A
BAYSIDE, NY 11361
Queens County (718) 423-3355
ROXANA MIHAELA VARTOLOMEI M.D.
Internal Medicine (Cardiovascular Disease)
4401 FRANCIS LEWIS BLVD, SUITE L3A
BAYSIDE, NY 11361
Queens County (718) 423-3355
MAIN STREET RADIOLOGY AT BAYSIDE LLC
Radiology (Diagnostic Radiology)
4401 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 428-1500

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 Seema Patel's NPI number?

The NPI number for Seema Patel is 1821238940. It was assigned to this individual provider in the NPPES registry on March 2, 2009.

Where is Seema Patel located?

Seema Patel practices at 4401 Francis Lewis Blvd, Bayside, NY 11361. The listed phone number is (718) 380-1733.

What is Seema Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Seema Patel enrolled in Medicare?

Yes. Seema 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.

Is Seema Patel affiliated with any hospitals?

According to CMS data, Seema Patel is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Seema Patel was last updated on March 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.