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NIRAVKUMAR NARENDRABHAI PATEL MD
NPI 1891264099
Internal Medicine in Abingdon, VA

Active since November 16, 2018PECOS Enrolled
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211(276) 258-4455 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, Nov 16, 2018 (2 updates tracked since 2018).

About Niravkumar Narendrabhai Patel Md NPPES

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

NIRAVKUMAR NARENDRABHAI PATEL MD (NPI 1891264099) is an individual internal medicine provider in Abingdon, Virginia, licensed in Virginia (0116032371) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891264099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRAVKUMAR NARENDRABHAI PATELCredential: MD
Location Address16000 JOHNSTON MEMORIAL DRAbingdon, VA 24211-7664
Mailing Address16000 Johnston Memorial DrAbingdon, VA 24211-7664 · (276) 258-4455
Phone(276) 258-4455
Sole ProprietorNo
Enumeration DateNovember 16, 2018
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1891264099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0116032371
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16000 JOHNSTON MEMORIAL DR, Abingdon, VA 24211
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niravkumar Narendrabhai Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
303 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
90 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
89 services30 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
30 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24211 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
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$92.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANGELA MARIE COOPER
Pharmacist
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-3050
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Dermatology
16000 JOHNSTON MEMORIAL DR, SUITE 101B
ABINGDON, VA 24211
Washington County (276) 258-1777
DR. JOE RUPE MD
Internal Medicine
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-4050
MISS CATHY ANN HOPKINS PA
Physician Assistant
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-1800
DAVID HUNT SMITH MD
Surgery
16000 JOHNSTON MEMORIAL DR, SUITE 101
ABINGDON, VA 24211
Washington County (276) 258-1777
JOHNSTON MEMORIAL HOSPITAL
General Acute Care Hospital
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-1100
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Urology
16000 JOHNSTON MEMORIAL DR, SUITE 312D
ABINGDON, VA 24211
Washington County (276) 783-5400
DR. BEVERLY TARA SMITH DO
Internal Medicine
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-1000

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 Niravkumar Patel's NPI number?

The NPI number for Niravkumar Patel is 1891264099. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Where is Niravkumar Patel located?

Niravkumar Patel practices at 16000 Johnston Memorial Dr, Abingdon, VA 24211. The listed phone number is (276) 258-4455.

What is Niravkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niravkumar Patel enrolled in Medicare?

Yes. Niravkumar Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Niravkumar Patel was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.