MRS. MONALI PATEL SIDHPURA M.D.
NPI 1881038644
Hospitalist in Braselton, GA
About Mrs. Monali Patel Sidhpura M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MONALI PATEL SIDHPURA M.D. (NPI 1881038644) is an individual hospitalist provider in Braselton, Georgia, licensed in Georgia (76957) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Stockbridge.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Mrs. Monali Patel Sidhpura 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.
Areas of Expertise CMS Part B claims 4
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAPiedmont Hospital
Acute Care Hospitals · Atlanta, GAPiedmont Rockdale Hospital
Acute Care Hospitals · Conyers, GAPiedmont Henry Hospital
Acute Care Hospitals · Stockbridge, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30517 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Monali Sidhpura's NPI number?
The NPI number for Monali Sidhpura is 1881038644. It was assigned to this individual provider in the NPPES registry on April 24, 2013. The provider is also known as Monali Patel M.D..
Where is Monali Sidhpura located?
Monali Sidhpura practices at 1400 River Pl, Braselton, GA 30517. The listed phone number is (631) 365-2259.
What is Monali Sidhpura's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Monali Sidhpura enrolled in Medicare?
Yes. Monali Sidhpura 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 Monali Sidhpura accept?
Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Monali Sidhpura 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 Monali Sidhpura affiliated with any hospitals?
According to CMS data, Monali Sidhpura is affiliated with Northeast Georgia Medical Center, Inc, Piedmont Hospital, Piedmont Rockdale Hospital and Piedmont Henry Hospital.
When was this NPI record last updated?
The NPPES record for Monali Sidhpura was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
