Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIRALI PATEL M.D
NPI 1851702989
Internal Medicine in Franklin, IN

Q: 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.

Q: What is Virali Patel's specialty?

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

Q: 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 26 days 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 May 12, 2014PECOS Enrolled

1155 W JEFFERSON ST STE 202, FRANKLIN, IN 46131(317) 346-3883(317) 346-3141 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Mar 24, 2026, Dec 15, 2025 and 3 more (6 updates tracked since 2017).

On this page

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 Community Hospital East, and maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1851702989

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameVIRALI PATELCredential: M.D

Location Address1155 W JEFFERSON ST STE 202Franklin, IN 46131-2732

Mailing AddressPo Box 800Franklin, IN 46131-0800 · (317) 736-3572

Phone(317) 346-3883

Fax(317) 346-3141

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 12, 2014

Last NPPES UpdateJuly 16, 20266 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1851702989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01086684A

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.

Also ListedHospitalistTaxonomy 208M00000X · License MD40733 (SC)

1155 W JEFFERSON ST STE 202, Franklin, IN 46131

Open in Google Maps ↗

Secondary Practice Location 1

Location 14900 W Whiteland RdGreenwood, IN 46143-5902 · Phone (317) 736-3300

Other Identifiers 2

Medicaid300063344IN

OtherQ00383516IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

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.

PECOS PAC ID9436448875

PECOS Enrollment IDI20220328002168

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 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.

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.

248 services192 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.

98 services98 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.

50 services48 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

42 services42 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.

39 services39 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician 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.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%247 patients5/55-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.

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.

MICHAEL D YOUNG MD

Internal Medicine