SEJAL R. PATEL NP
NPI 1851670962
Hospitalist in Charlotte, NC

Active since August 07, 2011PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10628 PARK RD, CHARLOTTE, NC 28210(704) 667-7070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 38 more (41 updates tracked since 2017).

About Sejal R. Patel Np NPPES

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

SEJAL R. PATEL NP (NPI 1851670962) is an individual hospitalist provider in Charlotte, North Carolina, licensed in North Carolina (5011894) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1851670962
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSEJAL R. PATELCredential: NP
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2011
Enumeration DateAugust 7, 2011
Last NPPES UpdateJuly 15, 202441 updates tracked since enumeration
NPI 1851670962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 5011894
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5011894 (NC)
10628 PARK RD, Charlotte, NC 28210

Secondary Practice Locations 4

Location 1920 Church St N, Suite 255Concord, NC 28025-2927 · Phone (704) 403-1331
Location 22001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 48800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

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

Sejal R. Patel Np 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 ID6204085731
PECOS Enrollment IDI20190924000758
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 5

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.

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.
158 services154 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.
42 services21 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.
38 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

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 Sejal Patel's NPI number?

The NPI number for Sejal Patel is 1851670962. It was assigned to this individual provider in the NPPES registry on August 7, 2011.

Where is Sejal Patel located?

Sejal Patel practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 667-7070.

What is Sejal Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sejal Patel enrolled in Medicare?

Yes. Sejal 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 Sejal Patel affiliated with any hospitals?

According to CMS data, Sejal Patel is affiliated with Atrium Health Pineville.

When was this NPI record last updated?

The NPPES record for Sejal Patel was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.