RICKY PATEL DO
NPI 1902256167
Internal Medicine in Lumberton, NC

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
300 W 27TH ST, LUMBERTON, NC 28358(910) 735-8781(910) 671-5392 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2019, Dec 13, 2019, Jun 20, 2016 (3 updates tracked since 2016).

About Ricky Patel Do NPPES

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

RICKY PATEL DO (NPI 1902256167) is an individual internal medicine provider in Lumberton, North Carolina, licensed in North Carolina (2019-02865) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Straub Clinic And Hospital, and is a graduate of William Carey University College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1902256167
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICKY PATELCredential: DO
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 735-8781 · Fax (910) 671-5392
Fax(910) 671-5392
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 20, 2016
Last NPPES UpdateDecember 18, 20193 updates tracked since enumeration
NPI 1902256167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2019-02865
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.
300 W 27TH ST, Lumberton, NC 28358

Accepted 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

Ricky Patel Do 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 ID5799113213
PECOS Enrollment IDI20250325000978
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.

Hospital Affiliations CMS Care Compare 2

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

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 suppliers16 claims19 services$18.97 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 suppliers16 claims19 services$111.53 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.

Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358

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 Ricky Patel's NPI number?

The NPI number for Ricky Patel is 1902256167. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Ricky Patel located?

Ricky Patel practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 735-8781.

What is Ricky Patel's specialty?

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

Is Ricky Patel enrolled in Medicare?

Yes. Ricky 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 Ricky Patel accept?

Health plans from HMSA list Ricky 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 Ricky Patel affiliated with any hospitals?

According to CMS data, Ricky Patel is affiliated with Straub Clinic And Hospital and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Ricky Patel was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.