PARTH KIRITKUMAR PATEL MD
NPI 1902398282
Family Medicine in Macon, GA

Q: What is Parth Patel's NPI number?

The NPI number for Parth Patel is 1902398282. It was assigned to this individual provider in the NPPES registry on June 3, 2018.

Q: What is Parth Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Parth Patel was last updated on March 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2018PECOS EnrolledAccepts Medicare Assignment

3400 RIVERSIDE DR, MACON, GA 31210(478) 474-5600(478) 471-6769 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2022, Mar 5, 2019, Jul 23, 2018 (3 updates tracked since 2018).

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About Parth Kiritkumar Patel Md NPPES

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

PARTH KIRITKUMAR PATEL MD (NPI 1902398282) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (89948) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Dorminy Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902398282

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePARTH KIRITKUMAR PATELCredential: MD

Location Address3400 RIVERSIDE DRMacon, GA 31210-2513

Mailing Address3400 Riverside DrMacon, GA 31210-2513 · (478) 474-5600 · Fax (478) 471-6769

Phone(478) 474-5600

Fax(478) 471-6769

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 3, 2018

Last NPPES UpdateMarch 4, 20223 updates tracked since enumeration

NPPES CertifiedMarch 4, 2022

✔ NPI 1902398282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 89948✔ Licensed in GA · 010545

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3400 RIVERSIDE DR, Macon, GA 31210

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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

Parth Kiritkumar 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 ID7113279241

PECOS Enrollment IDI20211004001939

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 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.

69 services32 patients

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.

43 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services25 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.

25 services25 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Dorminy Medical Center

Acute Care Hospitals · Fitzgerald, GA

OwnershipGovernment - Local

CMS Certification Number110073

Location200 Perry House Road, Box 1447Fitzgerald, GA 31750 · Ben Hill County

Emergency services

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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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.

DIPENKUMAR RAMESHCHANDRA PATEL M.D.

Family Medicine