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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Monali Sidhpura reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 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 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.
Which organizations bill Medicare for Monali Sidhpura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monali Sidhpura reassigns Medicare benefits to 4 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA) and Emory Specialty Associates, LLC (Lagrange, GA). 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 Monali Sidhpura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monali Sidhpura accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers 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 2 years 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.
# Mrs. Monali Patel Sidhpura, M.D. · NPI 1881038644
Hospitalist physician in Braselton, Georgia. Individual provider, active in the CMS NPPES registry since April 24, 2013.
## Identity
- **NPI:** 1881038644 (Entity type: Individual)
- **Enumerated:** April 24, 2013
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 76957 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 RIVER PL, Braselton, GA 30517-5600
- **Phone:** (631) 365-2259
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881038644) · Data from the CMS NPPES public registry.