DR. VISHAL PATEL M.D.
NPI 1912317256
Internal Medicine in Ardmore, OK

Q: What is Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1912317256. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Q: What is Vishal Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment

1011 14TH AVE NW, ARDMORE, OK 73401(580) 220-6132(580) 220-6772 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

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About Dr. Vishal Patel M.d. NPPES

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

DR. VISHAL PATEL M.D. (NPI 1912317256) is an individual internal medicine provider in Ardmore, Oklahoma, licensed in Oklahoma (33107) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1912317256

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. VISHAL PATELCredential: M.D.

Location Address1011 14TH AVE NWArdmore, OK 73401-1828

Mailing Address1011 14th Ave NwArdmore, OK 73401-1828 · (580) 220-6132 · Fax (580) 220-6772

Phone(580) 220-6132

Fax(580) 220-6772

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 7, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1912317256 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 OK · 33107

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

1011 14TH AVE NW, Ardmore, OK 73401

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Secondary Practice Location 1

Location 1585 Schenectady Ave # K4Brooklyn, NY 11203-1851 · Phone (718) 363-6771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vishal 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 ID4880965664

PECOS Enrollment IDI20170814000623

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.

Medicare Billing Reassignments

Medicare enrollment records show Vishal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Ardmore, Inc

0.2 mi

Cardiovascular Disease

1101 14TH AVE NW
Ardmore, OK 73401

Reassigned Medicare billing, Oklahoma enrollment
41 clinicians in this Medicare group

NPI 1578906657 (580) 223-5400

Exceptional Physicians Group Ardmore Hospital PLLC

1.3 mi

Emergency Medicine

1641 WOERZ WAY
Ardmore, OK 73401

Reassigned Medicare billing, Oklahoma enrollment
46 clinicians in this Medicare group

NPI 1588427462 (469) 341-7800

Mercy Hospital Healdton, Inc

20 mi

Critical Access

3462 HOSPITAL RD
Healdton, OK 73438

Reassigned Medicare billing, Oklahoma enrollment
Also billed through NPI 1578710406 (Oklahoma)
37 clinicians in this Medicare group

NPI 1568615656 (580) 229-0701

Mercy Hospital Tishomingo, Inc.

27 mi

Critical Access

1000 S BYRD ST
Tishomingo, OK 73460

Reassigned Medicare billing, Oklahoma enrollment
55 clinicians in this Medicare group

NPI 1932404431 (580) 371-2327

Mercy Clinic Oklahoma Communities

101 mi

Family Medicine

4300 W MEMORIAL RD
Oklahoma City, OK 73120

Reassigned Medicare billing, Oklahoma enrollment
975 clinicians in this Medicare group

NPI 1386874550 (405) 752-3333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.

221 services215 patients

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.

196 services142 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.

166 services101 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 services147 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.

76 services49 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.

48 services48 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370047

Location1011 14th Ave NWArdmore, OK 73401 · Carter County

Emergency services Birthing friendly

Mercy Hospital Marietta

Critical Access Hospitals · Marietta, OK

OwnershipGovernment - Local

CMS Certification Number371306

Location300 Wanda StreetMarietta, OK 73448 · Love County

Emergency services

Alliancehealth Madill

Critical Access Hospitals · Madill, OK

OwnershipVoluntary non-profit - Other

CMS Certification Number371326

Location901 S 5th AveMadill, OK 73446 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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 suppliers40 claims40 services$19.75 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$913.60 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 suppliers49 claims49 services$114.20 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier32 claims32 services$25.73 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier15 claims15 services$8.23 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.

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