DHAVAL G. PATEL M.D.
NPI 1831151174
Internal Medicine - Cardiovascular Disease in Marietta, GA

Q: What is Dhaval Patel's NPI number?

The NPI number for Dhaval Patel is 1831151174. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Dhaval Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Dhaval Patel was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060(770) 424-6893(770) 528-9938 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2026, Feb 5, 2026, Dec 2, 2019 (3 updates tracked since 2019).

On this page

About Dhaval G. Patel M.d. NPPES

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

DHAVAL G. PATEL M.D. (NPI 1831151174) is an individual cardiovascular disease provider in Marietta, Georgia, licensed in Georgia (52507) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1831151174

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDHAVAL G. PATELCredential: M.D.

Location Address55 WHITCHER ST NE, SUITE 350Marietta, GA 30060-1155

Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938

Phone(770) 424-6893

Fax(770) 528-9938

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateApril 3, 2006

Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1831151174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in GA · 52507✔ Licensed in FL · ME177825

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 52507 (GA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 52507 (GA)

Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 52507 (GA)

55 WHITCHER ST NE, Marietta, GA 30060

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Secondary Practice Location 1

Location 1PO Box 100288Gainesville, FL 32610-0277 · Phone (352) 273-9079

Other Identifiers 3

Medicaid815587489QGA

Medicaid130312800FL

Medicaid815587489PGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Superior HealthPlan, Ambetter Health and more.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

Dhaval G. 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 ID3678658333

PECOS Enrollment IDI20080306000008, I20260216002292

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

Medicare enrollment records show Dhaval Patel reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC

Same address

Surgery

55 WHITCHER ST NE, SUITE 130
Marietta, GA 30060

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1235438367 (770) 428-0462

Kennestone Hospital, Inc.

0.1 mi

General Acute Care Hospital

677 CHURCH ST NE
Marietta, GA 30060

Reassigned Medicare billing, Georgia enrollment
27 clinicians in this Medicare group

NPI 1649248626 (470) 644-0012

Morgan County Georgia Hospital Authority

68 mi

Critical Access

1740 LIONS CLUB RD
Madison, GA 30650

Reassigned Medicare billing, Georgia enrollment
37 clinicians in this Medicare group

NPI 1205843174 (706) 342-1667

Florida Clinical Practice Association Inc

325 mi

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

Villages Regional Hospital Physician Services LLC

329 mi

Urgent Care

70 TURIN TER STE 110
St Augustine, FL 32092

Reassigned Medicare billing, Florida enrollment
354 clinicians in this Medicare group

NPI 1992639777 (904) 819-7200

Divine Savior Healthcare, Inc.

713 mi

General Acute Care Hospital

2817 NEW PINERY RD
Portage, WI 53901

Reassigned Medicare billing, Wisconsin enrollment
359 clinicians in this Medicare group

NPI 1124083894 (608) 742-4131

Aspirus Riverview Hospital & Clinics, Inc.

745 mi

Multi-Specialty

419 N OAK ST
Adams, WI 53910

Reassigned Medicare billing, Wisconsin enrollment
397 clinicians in this Medicare group

NPI 1114411287 (608) 339-5250

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

766 mi

Clinic/Center

272 CHRISTY ST
Amherst, WI 54406

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1699068692 (Wisconsin)
935 clinicians in this Medicare group

NPI 1316616428 (715) 824-5151

Aspirus Riverview Hospital & Clinics, Inc.

772 mi

Rural Health

2031 PEACH ST
Wisconsin Rapids, WI 54494

Reassigned Medicare billing, Wisconsin and Michigan enrollments
Medicare enrollment name: Aspirus Medical Group, Inc.
Also billed through NPI 1033411822 (Michigan)
415 clinicians in this Medicare group

NPI 1184176059 (715) 423-0122

Aspirus Stevens Point Hospital & Clinics, Inc.

774 mi

General Practice

3500 HOOVER RD
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
619 clinicians in this Medicare group

NPI 1184082745 (715) 342-7900

Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin

796 mi

Rural Health

375 MAIN ST
Birnamwood, WI 54414

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1639187412 (Wisconsin)
321 clinicians in this Medicare group

NPI 1063574184 (715) 449-2539

Aspirus Stanley Hospital & Clinics, Inc.

799 mi

Rural Health

6 JOHNSON ST
Owen, WI 54460

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1053391730 (Wisconsin)
48 clinicians in this Medicare group

NPI 1700866399 (715) 229-2177

Aspirus Medical Group, Inc.

806 mi

Cardiovascular Disease

500 WIND RIDGE DR
Wausau, WI 54401

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Aspirus Iron River Hospital & Clinics Inc
Also billed through NPI 1457865198 (Michigan)
200 clinicians in this Medicare group

NPI 1033411822 (715) 847-2611

Aspirus Medford Hospital & Clinics, Inc.

818 mi

Rural Health

729 PINE ST
Athens, WI 54411

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1760912919 (715) 748-8100

Aspirus Merrill Hospital & Clinics, Inc.

821 mi

Critical Access

601 S CENTER AVE
Merrill, WI 54452

Reassigned Medicare billing, Wisconsin enrollment
351 clinicians in this Medicare group

NPI 1124084678 (715) 536-5511

Aspirus Eagle River Hospital & Clinics, Inc.

862 mi

Critical Access

201 HOSPITAL RD
Eagle River, WI 54521

Reassigned Medicare billing, Wisconsin enrollment
262 clinicians in this Medicare group

NPI 1346204385 (715) 479-7411

Aspirus Ironwood Hospital & Clinics Inc.

864 mi

Ophthalmology

229 W GENESEE ST
Iron River, MI 49935

Reassigned Medicare billing, Michigan enrollment
244 clinicians in this Medicare group

NPI 1073293999 (906) 265-9931

Aspirus Ironwood Hospital & Clinics Inc.

864 mi

Ophthalmology

229 W GENESEE ST
Iron River, MI 49935

Reassigned Medicare billing, Michigan enrollment
264 clinicians in this Medicare group

NPI 1073293999 (906) 265-9931

The Howard Young Medical Center, Inc.

867 mi

General Acute Care Hospital

240 MAPLE ST
Woodruff, WI 54568

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
358 clinicians in this Medicare group

NPI 1134183171 (715) 356-8000

Aspirus Keweenaw

924 mi

Clinic/Center

730 S 7TH ST
Ontonagon, MI 49953

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1023161932 (Michigan)
210 clinicians in this Medicare group

NPI 1740046481 (906) 884-8112

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 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,630 services1,287 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.

304 services236 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

284 services282 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.

244 services235 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.

212 services125 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.

210 services164 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

151 services111 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

82 services78 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

81 services81 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

67 services67 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

58 services58 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

48 services47 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

39 services23 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.

38 services38 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

35 services35 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

26 services26 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

24 services23 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.

22 services22 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

17 services13 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

14 services13 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110042

Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

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.

DR. ROBERT DAVID JANSEN M.D.

Internal Medicine (Nephrology)

55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060

Cobb County (770) 427-7389

DR. MADHAVI JORDAN MD

Surgery

55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060

Cobb County (770) 428-0462

MR. REYES TORRES III PA-C

Physician Assistant

55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Cobb County (770) 424-6893

ASIF A SABERI M.D.

Internal Medicine (Critical Care Medicine)

55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060

Cobb County (770) 422-1372

BRYAN T. PIEDAD M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Cobb County (770) 424-6893

MICHAEL J RILEY M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Cobb County (770) 424-6893

KAMARA SUZANNE HEARD ACNP

Nurse Practitioner (Acute Care)

55 WHITCHER ST NE
MARIETTA, GA 30060

Cobb County (770) 422-1372

JACLYN WOOD NP

Nurse Practitioner (Family)

55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060

Cobb County (770) 428-4475

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 Dhaval Patel's NPI number?

The NPI number for Dhaval Patel is 1831151174. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Dhaval Patel located?

Dhaval Patel practices at 55 Whitcher St NE Suite 350, Marietta, GA 30060. The listed phone number is (770) 424-6893.

What is Dhaval Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Dhaval Patel enrolled in Medicare?

Yes. Dhaval 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 Dhaval Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhaval Patel reassigns Medicare benefits to 20 organizations: Wellstar Medical Group, LLC (Marietta, GA), Kennestone Hospital, Inc. (Marietta, GA), Morgan County Georgia Hospital Authority (Madison, GA), Florida Clinical Practice Association Inc (Gainesville, FL), Villages Regional Hospital Physician Services LLC (St Augustine, FL) and 15 more organizations, listed in the Medicare section above. 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 Dhaval Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhaval Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Anthem Blue Cross and Blue Shield and 11 other insurers list Dhaval 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 Dhaval Patel affiliated with any hospitals?

According to CMS data, Dhaval Patel is affiliated with Emory University Hospital, Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Dhaval Patel was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.