DR. APURVA M PATEL MD, FACC
NPI 1902856230
Internal Medicine - Cardiovascular Disease in Suffolk, VA

Active since May 10, 2006PECOS Enrolled
1030 HILLPOINT BLVD N, SUFFOLK, VA 23434(757) 539-0444(757) 539-4824 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Apurva M Patel Md, Facc NPPES

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

DR. APURVA M PATEL MD, FACC (NPI 1902856230) is an individual cardiovascular disease provider in Suffolk, Virginia, licensed in Virginia (0101048165) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902856230
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. APURVA M PATELCredential: MD, FACC
Location Address1030 HILLPOINT BLVD NSuffolk, VA 23434-8470
Mailing Address1030 Hillpoint Blvd NSuffolk, VA 23434-8470 · (757) 539-0444 · Fax (757) 539-4824
Fax(757) 539-4824
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateMay 23, 2013
NPI 1902856230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101048165
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 0101048165 (VA)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 0101048165 (VA)
1030 HILLPOINT BLVD N, Suffolk, VA 23434

Other Identifiers 3

Medicare ID-Type Unspecified110004547VA
Medicare UPINF28346VA
Medicaid006020437VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Apurva M Patel Md, Facc 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 2

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 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.
112 services112 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
40 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23434 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
15%548 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
5%126 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%949 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
48%934 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
27%366 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
6%426 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

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$55.12 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 4

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

Internal Medicine (Cardiovascular Disease)
1030 HILLPOINT BLVD N
SUFFOLK, VA 23434
Internal Medicine (Cardiovascular Disease)
1030 HILLPOINT BLVD N
SUFFOLK, VA 23434
Internal Medicine (Cardiovascular Disease)
1030 HILLPOINT BLVD N
SUFFOLK, VA 23434
Internal Medicine (Cardiovascular Disease)
1030 HILLPOINT BLVD N
SUFFOLK, VA 23434

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 Apurva Patel's NPI number?

The NPI number for Apurva Patel is 1902856230. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Apurva Patel located?

Apurva Patel practices at 1030 Hillpoint Blvd N, Suffolk, VA 23434. The listed phone number is (757) 539-0444.

What is Apurva Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Apurva Patel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Apurva Patel was last updated on May 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.