BAKUL KUMAR PATEL
NPI 1912914102
Internal Medicine - Gastroenterology in South Boston, VA

Q: What is Bakul Patel's NPI number?

The NPI number for Bakul Patel is 1912914102. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Bakul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Bakul Patel was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 01, 2006PECOS EnrolledAccepts Medicare Assignment

1129 N MAIN ST STE G, SOUTH BOSTON, VA 24592(434) 572-8196(434) 572-8341 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 24, 2023, Jan 7, 2022, Mar 22, 2019 and 1 more (4 updates tracked since 2016).

On this page

About Bakul Kumar Patel NPPES

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

BAKUL KUMAR PATEL (NPI 1912914102) is an individual gastroenterology provider in South Boston, Virginia, licensed in North Carolina (2013-00007) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Person Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912914102

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameBAKUL KUMAR PATEL

Location Address1129 N MAIN ST STE GSouth Boston, VA 24592-2547

Mailing Address1129 N Main St Ste GSouth Boston, VA 24592-2547 · (345) 728-1964 · Fax (434) 572-8341

Phone(434) 572-8196

Fax(434) 572-8341

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 1, 2006

Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1912914102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NC · 2013-00007✔ Licensed in VA · 101234858

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1129 N MAIN ST STE G, South Boston, VA 24592

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Secondary Practice Locations 2

Location 12232 Wilborn Ave, Suite GSouth Boston, VA 24592-1662 · Phone (434) 572-8196 · Fax (434) 572-4549

Location 2503 Ridge RdRoxboro, NC 27573-4627 · Phone (336) 503-5757 · Fax (336) 322-4350

Other Identifiers 5

OtherP00064711VA · Rr M Care

Medicaid1912914102OH

Medicaid010019087VA

Medicaid1912914102NC

Other465809VA · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Bakul Kumar Patel 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 ID7911090527

PECOS Enrollment IDI20100429000446, I20131104001167

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 Bakul Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Gastroenterology Associates PC

Same address

Specialist

1129 N MAIN ST STE G
South Boston, VA 24592

Reassigned Medicare billing, Virginia enrollment
5 clinicians in this Medicare group

NPI 1376659870 (434) 572-8196

Dlp Person Physician Practices, LLC

21 mi

Family Medicine

601 RIDGE RD
Roxboro, NC 27573

Reassigned Medicare billing, North Carolina enrollment
22 clinicians in this Medicare group

NPI 1548544802 (336) 599-5754

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 23

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.

436 services352 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.

435 services386 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

127 services127 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

114 services101 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

110 services110 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

86 services86 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

78 services78 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

67 services67 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.

60 services52 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

56 services55 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

54 services54 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

49 services49 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

45 services45 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

42 services41 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

37 services37 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

36 services36 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

23 services23 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

22 services22 patients

Biopsy of large bowel using a flexible endoscope 45380

22 services22 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.

22 services18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

21 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

18 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Person Memorial Hospital

Acute Care Hospitals · Roxboro, NC

OwnershipProprietary

CMS Certification Number340159

Location615 Ridge RdRoxboro, NC 27573 · Person County

Emergency services

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 3

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

SURESH GEHAN JAYATILAKA M.D.

Internal Medicine (Gastroenterology)

1129 N MAIN ST STE G
SOUTH BOSTON, VA 24592

Halifax County (434) 572-8196

SOUTHERN GASTROENTEROLOGY ASSOCIATES PC

Specialist

1129 N MAIN ST STE G
SOUTH BOSTON, VA 24592

Halifax County (434) 572-8196

SETH GUPTON NP

Nurse Practitioner (Family)

1129 N MAIN ST STE G
SOUTH BOSTON, VA 24592

Halifax County (434) 572-8196

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 Bakul Patel's NPI number?

The NPI number for Bakul Patel is 1912914102. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Bakul Patel located?

Bakul Patel practices at 1129 N Main St Ste G, South Boston, VA 24592. The listed phone number is (434) 572-8196.

What is Bakul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Bakul Patel enrolled in Medicare?

Yes. Bakul 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.

Which organizations bill Medicare for Bakul Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bakul Patel reassigns Medicare benefits to 2 organizations: Southern Gastroenterology Associates PC (South Boston, VA) and Dlp Person Physician Practices, LLC (Roxboro, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bakul Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bakul Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Bakul 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 Bakul Patel affiliated with any hospitals?

According to CMS data, Bakul Patel is affiliated with Person Memorial Hospital and Sentara Halifax Regional Hospital.

When was this NPI record last updated?

The NPPES record for Bakul Patel was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.