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PAYAL ATUL PATEL PA-C
NPI 1881366359
Physician Assistant in Washington, DC

Active since October 01, 2021PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1001 G ST NW STE 200E, WASHINGTON, DC 20001(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 8, 2024, Nov 17, 2021, Oct 1, 2021 (3 updates tracked since 2021).

About Payal Atul Patel Pa-c NPPES

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

PAYAL ATUL PATEL PA-C (NPI 1881366359) is an individual physician assistant in Washington, District Of Columbia, licensed in District Of Columbia (PA200001300) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881366359
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAYAL ATUL PATELCredential: PA-C
Location Address1001 G ST NW STE 200EWashington, DC 20001-4546
Mailing Address1001 G St Nw Ste 200eWashington, DC 20001-4546 · (888) 663-6331 · Fax (415) 252-7176
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 1, 2021
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1881366359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in DC · PA200001300✔ Licensed in IL · 085008483
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1001 G ST NW STE 200E, Washington, DC 20001
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11653 W Congress PkwyChicago, IL 60612-3833 · Phone (312) 942-0229
Location 22041 Georgia Ave NWWashington, DC 20060-0001 · Phone (202) 865-1181

Other Identifiers 1

OtherOPTIONALOptional

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

Payal Atul Patel Pa-c 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 ID3870982358
PECOS Enrollment IDI20211123001203, I20241003003832
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 7

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.
30 services30 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20001 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

JEAN-LUC THANH DOAN PA-C
Physician Assistant
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (888) 663-6331
DR. MAREN K KETCHAM MD
Internal Medicine
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (888) 663-6331
DR. ALICIA R BUCHWALTER MD
Internal Medicine
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (888) 663-6331
MRS. RACHEL ALEXIS BARR PHYSICIAN ASSISTANT
Physician Assistant
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (202) 660-0005
CAROLYN CABREY PA
Physician Assistant
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (888) 663-6331
DANIEL PAUL GARFINKEL MD
Family Medicine
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (202) 660-0005
MARCELLA OPHELIA HILL CRNP
Nurse Practitioner (Family)
1001 G ST NW STE 200E
WASHINGTON, DC 20001
District of Columbia (415) 658-6791

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 Payal Patel's NPI number?

The NPI number for Payal Patel is 1881366359. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Payal Patel located?

Payal Patel practices at 1001 G St NW Ste 200E, Washington, DC 20001. The listed phone number is (888) 663-6331.

What is Payal Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Payal Patel enrolled in Medicare?

Yes. Payal 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.

When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.