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DR. DHIRAJ A PATEL M.D
NPI 1891863148
Internal Medicine in Alpharetta, GA

Active since December 02, 2006PECOS EnrolledAccepts Medicare Assignment
401 S MAIN ST, SUITE A 4, ALPHARETTA, GA 30009(770) 772-4044(770) 772-4227 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dhiraj A Patel M.d NPPES

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

DR. DHIRAJ A PATEL M.D (NPI 1891863148) is an individual internal medicine provider in Alpharetta, Georgia, licensed in Georgia (41193) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1891863148
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DHIRAJ A PATELCredential: M.D
Location Address401 S MAIN ST, SUITE A 4Alpharetta, GA 30009-1974
Mailing Address401 S Main St, Suite A 4Alpharetta, GA 30009-1974 · (770) 772-4044 · Fax (770) 772-4227
Phone(770) 772-4044
Fax(770) 772-4227
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateDecember 2, 2006
Last NPPES UpdateAugust 31, 2010
✔ NPI 1891863148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 41193
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.
401 S MAIN ST, Alpharetta, GA 30009
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Other Identifiers 3

Medicare ID-Type Unspecified11BDLXMGA · Internal Medicine Practic
Medicare UPINF54993GA
Medicaid000684978GGA

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. Dhiraj A 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 ID1456437706
PECOS Enrollment IDI20120118000345
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 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.
416 services134 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.
326 services136 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services39 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
55 services55 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
48 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 13

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

MS. SERENITY ELDER FNP
Nurse Practitioner (Family)
401 S MAIN ST
ALPHARETTA, GA 30009
Fulton County (678) 242-0204
KIMBERLY R STOREY C.N.M
Obstetrics & Gynecology (Obstetrics)
401 S MAIN ST, SUITE B-8
ALPHARETTA, GA 30009
Fulton County (770) 521-2229
NEIL D PATEL M.D.
Internal Medicine
401 S MAIN ST, SUITE A4
ALPHARETTA, GA 30009
Fulton County (678) 570-2585
SPECTRUM INTERNAL MEDICINE, LLC
Clinic/Center (Primary Care)
401 S MAIN ST, SUITE B3
ALPHARETTA, GA 30009
Fulton County (678) 319-9901
ALPHARETTA PODIATRY
Podiatrist (Foot & Ankle Surgery)
401 S MAIN ST, UNIT A-1
ALPHARETTA, GA 30009
Fulton County (770) 864-1015
CUSTOM OCULAR PROSTHETICS INC
Technician/Technologist (Ocularist)
401 S MAIN ST, SUITE B6
ALPHARETTA, GA 30009
Fulton County (770) 667-1166
MINDFUL SPORT AND PERFORMANCE
Counselor (Mental Health)
401 S MAIN ST
ALPHARETTA, GA 30009
Fulton County (404) 783-8135
MAIN STREET INTERNAL MEDICINE & PEDIATRICS PC
Pediatrics
401 S MAIN ST, SUITE C5
ALPHARETTA, GA 30009
Fulton County (678) 205-2437

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 Dhiraj Patel's NPI number?

The NPI number for Dhiraj Patel is 1891863148. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Dhiraj Patel located?

Dhiraj Patel practices at 401 S Main St Suite A 4, Alpharetta, GA 30009. The listed phone number is (770) 772-4044.

What is Dhiraj Patel's specialty?

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

Is Dhiraj Patel enrolled in Medicare?

Yes. Dhiraj 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 Dhiraj 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 1 other insurer list Dhiraj 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.

Is Dhiraj Patel affiliated with any hospitals?

According to CMS data, Dhiraj Patel is affiliated with Northside Hospital and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Dhiraj Patel was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.