SAUMIL VINUBHAI PATEL M.D.
NPI 1881684124
Internal Medicine - Cardiovascular Disease in Norfolk, VA

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
86.63/100
CMS Quality Rating
160 KINGSLEY LN, SUITE 100 A, NORFOLK, VA 23505(757) 889-5335 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saumil Vinubhai Patel M.d. NPPES

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

SAUMIL VINUBHAI PATEL M.D. (NPI 1881684124) is an individual cardiovascular disease provider in Norfolk, Virginia, licensed in Virginia (0101248010) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1881684124
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSAUMIL VINUBHAI PATELCredential: M.D.
Location Address160 KINGSLEY LN, SUITE 100 ANorfolk, VA 23505-4600
Mailing Address160 Kingsley Ln, Suite 100 ANorfolk, VA 23505-4600 · (757) 889-5335
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 27, 2005
Last NPPES UpdateAugust 15, 2011
NPI 1881684124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in VA · 0101248010 Licensed in KY · 40262
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

160 KINGSLEY LN, Norfolk, VA 23505

Other Identifiers 3

Medicare PINVAA102518VA
Medicare PINVAA102519VA
Medicare PINVAA102516VA

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

Saumil Vinubhai 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 ID446275325
PECOS Enrollment IDI20101028000693
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 36

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
894 services713 patients
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.
566 services465 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
349 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
285 services171 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
263 services256 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
188 services47 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Bon Secours Southampton Memorial Hospital

Acute Care Hospitals · Franklin, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490092
Location100 Fairview Drive - PO Box 817Franklin, VA 23851 · Franklin City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

86.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.93
Promoting Interoperability100
Improvement Activities40
Cost51.57

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%28 patients5/55-star benchmark: 100%
Breast Cancer Screening
75%682 patients4/55-star benchmark: 93%
Cervical Cancer Screening
36%563 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
13%670 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
53%1,491 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
71%1,332 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
17%514 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%522 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
13%3,585 patients1/55-star benchmark: 100%
e-Prescribing
97%896 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
85%1,145 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
88%65 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
89%2,392 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
57%1,882 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%1,432 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 755 patients
Patients screened: 93% · 755 patients
83%111 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%889 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%1,361 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 1,144 patients
Patients totalRate: 11% · 1,144 patients
9%1,144 patients4/55-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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
160 KINGSLEY LN, STE. 400
NORFOLK, VA 23505
Pharmacist
160 KINGSLEY LN
NORFOLK, VA 23505
Obstetrics & Gynecology
160 KINGSLEY LN, SUITE 205 DEPAUL ATRIUM
NORFOLK, VA 23505
Surgery
160 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Nurse Practitioner (Family)
160 KINGSLEY LN, SUITE 106
NORFOLK, VA 23505
Physician Assistant
160 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Internal Medicine
160 KINGSLEY LN, SUITE 500
NORFOLK, VA 23505
Specialist
160 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505

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 Saumil Patel's NPI number?

The NPI number for Saumil Patel is 1881684124. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Saumil Patel located?

Saumil Patel practices at 160 Kingsley Ln Suite 100 A, Norfolk, VA 23505. The listed phone number is (757) 889-5335.

What is Saumil Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Saumil Patel enrolled in Medicare?

Yes. Saumil 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.

Is Saumil Patel affiliated with any hospitals?

According to CMS data, Saumil Patel is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center, Sentara Obici Hospital and Bon Secours Southampton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Saumil Patel was last updated on August 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.