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

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: August 09, 2026.

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

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 Wellstar Kennestone Regional Medical Center, 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
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

Secondary Practice Location 1

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

Other Identifiers 3

Medicaid815587489QGA
Medicaid130312800FL
Medicaid815587489PGA

Accepted 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

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
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 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

Hospital Affiliations CMS Care Compare 3

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

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
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Nephrology)
55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060
Surgery
55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Critical Care Medicine)
55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060

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.

What insurance does Dhaval Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 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 4 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.