VATSAL G PATEL MD
NPI 1891282596
Internal Medicine in Colorado Springs, CO

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907(719) 776-8040(719) 776-8050 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Dec 23, 2021, May 18, 2021 and 1 more (4 updates tracked since 2018).

About Vatsal G Patel Md NPPES

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

VATSAL G PATEL MD (NPI 1891282596) is an individual internal medicine provider in Colorado Springs, Colorado, licensed in Georgia (88539) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891282596
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVATSAL G PATELCredential: MD
Location Address2222 N NEVADA AVEColorado Springs, CO 80907-6819
Mailing Address380 Hospital Drive, Building A, Suite 430Macon, GA 31217 · (478) 751-0367
Fax(719) 776-8050
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2018
Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1891282596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 88539
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.
Also ListedHospitalistTaxonomy 208M00000X · License DR.0067807 (CO)
2222 N NEVADA AVE, Colorado Springs, CO 80907

Secondary Practice Locations 2

Location 1380 Hospital Drive, Building A, Suite 430Macon, GA 31217 · Phone (478) 751-0367
Location 23651 Wheeler RdAugusta, GA 30909-6426 · Phone (800) 424-3672 ext. 3033

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

Vatsal G Patel Md 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 ID7618202250
PECOS Enrollment IDI20210603002669
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.

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.
528 services225 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.
263 services126 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.
153 services153 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.
44 services21 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.
41 services41 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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 suppliers19 claims19 services$14.16 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 suppliers19 claims19 services$71.41 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.

Student in an Organized Health Care Education/Training Program
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Pharmacist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Radiology (Diagnostic Radiology)
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Emergency Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Internal Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Internal Medicine
2222 N NEVADA AVE, SUITE 2010
COLORADO SPRINGS, CO 80907
Hospitalist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Emergency Medicine
2222 N NEVADA AVE, EMERGENCY DEPARTMENT
COLORADO SPRINGS, CO 80907

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 Vatsal Patel's NPI number?

The NPI number for Vatsal Patel is 1891282596. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Vatsal Patel located?

Vatsal Patel practices at 2222 N Nevada Ave, Colorado Springs, CO 80907. The listed phone number is (719) 776-8040.

What is Vatsal Patel's specialty?

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

Is Vatsal Patel enrolled in Medicare?

Yes. Vatsal 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 Vatsal Patel affiliated with any hospitals?

According to CMS data, Vatsal Patel is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Memorial University Medical Center, Fairview Park Hospital and Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for Vatsal Patel was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.