VIRALI PATEL M.D
NPI 1851702989
Internal Medicine in Franklin, IN
About Virali Patel M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIRALI PATEL M.D (NPI 1851702989) is an individual internal medicine provider in Franklin, Indiana, licensed in Indiana (01086684A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and maintains a secondary practice location in Greenwood.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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
Virali 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.
Medicare Billing Reassignments
2Medicare enrollment records show Virali Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, IN 46131
- Reassigned Medicare billing, Indiana enrollment
- 37 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 2,087 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 10
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johnson Memorial Hospital
Acute Care Hospitals · Franklin, INCommunity Hospital East
Acute Care Hospitals · Indianapolis, INCommunity Hospital South, Inc.
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46131 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRANKLIN, IN 46131
FRANKLIN, IN 46131
FRANKLIN, IN 46131
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 Virali Patel's NPI number?
The NPI number for Virali Patel is 1851702989. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is Virali Patel located?
Virali Patel practices at 1155 W Jefferson St Ste 202, Franklin, IN 46131. The listed phone number is (317) 346-3883.
What is Virali Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Virali Patel enrolled in Medicare?
Yes. Virali 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 Virali Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Virali Patel reassigns Medicare benefits to 2 organizations: Johnson Memorial Health Physician Network, LLC (Franklin, IN) and Community Physicians Of Indiana Inc (Indianapolis, IN). 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 Virali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Virali Patel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Virali 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 Virali Patel affiliated with any hospitals?
According to CMS data, Virali Patel is affiliated with Johnson Memorial Hospital, Community Hospital East and Community Hospital South, Inc..
When was this NPI record last updated?
The NPPES record for Virali Patel was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Virali Patel, M.D · NPI 1851702989
Internal Medicine physician in Franklin, Indiana. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1851702989 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01086684A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1155 W JEFFERSON ST STE 202, Franklin, IN 46131-2732
- **Phone:** (317) 346-3883 · **Fax:** (317) 346-3141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johnson Memorial Health Physician Network, LLC (NPI 1053972331, Franklin, IN); Community Physicians Of Indiana Inc (NPI 1619105244, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 16, 2026
- **Other identifiers:** Medicaid 300063344 (IN); Other Q00383516 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1851702989) · Data from the CMS NPPES public registry.