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DR. VISHAL PATEL D.P.M.
NPI 1891228540
Podiatrist - Foot & Ankle Surgery in Atlanta, GA

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
755 MOUNT VERNON HWY NE STE 210, ATLANTA, GA 30328(470) 648-7851 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Aug 11, 2020, Apr 10, 2017 (3 updates tracked since 2017).

About Dr. Vishal Patel D.p.m. NPPES

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

DR. VISHAL PATEL D.P.M. (NPI 1891228540) is an individual foot & ankle surgery provider in Atlanta, Georgia, licensed in Georgia (POD001460) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2017).

NPPES Registry Identity

NPI1891228540
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. VISHAL PATELCredential: D.P.M.
Location Address755 MOUNT VERNON HWY NE STE 210Atlanta, GA 30328-4279
Mailing Address755 Mount Vernon Hwy Ne Ste 210Atlanta, GA 30328-4279
Phone(470) 648-7851
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateAugust 26, 20203 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1891228540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD001460
755 MOUNT VERNON HWY NE STE 210, Atlanta, GA 30328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Vishal Patel D.p.m. 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 ID4981029964
PECOS Enrollment IDI20200807001700
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
231 services96 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
114 services57 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
101 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 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.
36 services36 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.
14 services12 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ATLANTA OCULOFACIAL PLASTIC SURGEONS PC
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
755 MOUNT VERNON HWY NE STE 210
SANDY SPRINGS, GA 30328
Fulton County (770) 310-6579

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 Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1891228540. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Vishal Patel located?

Vishal Patel practices at 755 Mount Vernon Hwy NE Ste 210, Atlanta, GA 30328. The listed phone number is (470) 648-7851.

What is Vishal Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Vishal Patel enrolled in Medicare?

Yes. Vishal 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.

What insurance does Vishal Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Vishal Patel 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.

When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.