TUSHAR RAMAN PATEL MD
NPI 1922012103
Specialist in Mooresville, NC

Q: What is Tushar Patel's NPI number?

The NPI number for Tushar Patel is 1922012103. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Tushar Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tushar Patel was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 27, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

132 GATEWAY BLVD, MOORESVILLE, NC 28117(704) 663-7226(704) 662-3875 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2021, Mar 30, 2018 (2 updates tracked since 2018).

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About Tushar Raman Patel Md NPPES

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

TUSHAR RAMAN PATEL MD (NPI 1922012103) is an individual specialist in Mooresville, North Carolina, licensed in North Carolina (200400072) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Norman Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1922012103

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameTUSHAR RAMAN PATELCredential: MD

Location Address132 GATEWAY BLVDMooresville, NC 28117-5540

Mailing Address132 Gateway Blvd, Ste CMooresville, NC 28117-5540 · (704) 663-7226 · Fax (704) 662-3875

Phone(704) 663-7226

Fax(704) 662-3875

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 27, 2006

Last NPPES UpdateApril 6, 20212 updates tracked since enumeration

NPPES CertifiedApril 6, 2021

✔ NPI 1922012103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 200400072

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOphthalmologyTaxonomy 207W00000X · License 2004-00072 (NC)

132 GATEWAY BLVD, Mooresville, NC 28117

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Other Identifiers 1

Medicaid89136CGNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Tushar Raman 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 ID840280103

PECOS Enrollment IDI20040519001606

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 Reassignment

Medicare enrollment records show Tushar Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Norman Ophthalmology PLLC

Same address

Ophthalmology

132 GATEWAY BLVD STE C
Mooresville, NC 28117

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

NPI 1821147133 (704) 662-3875

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 20

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 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.

1,236 services897 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,099 services1,070 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

896 services772 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

543 services474 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

388 services272 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

349 services235 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

342 services326 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

244 services242 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

237 services232 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

233 services233 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.

233 services213 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

227 services163 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

211 services149 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

107 services55 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.

68 services68 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.

50 services50 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

18 services18 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

14 services14 patients

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11440

This procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.

13 services12 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340129

Location171 Fairview RoadMooresville, NC 28117 · Iredell County

Emergency services

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES

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

DONALD L COHEN MD

Specialist

132 GATEWAY BLVD
MOORESVILLE, NC 28117

Iredell County (704) 663-7226

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 Tushar Patel's NPI number?

The NPI number for Tushar Patel is 1922012103. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Tushar Patel located?

Tushar Patel practices at 132 Gateway Blvd, Mooresville, NC 28117. The listed phone number is (704) 663-7226.

What is Tushar Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tushar Patel enrolled in Medicare?

Yes. Tushar 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 organization bills Medicare for Tushar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tushar Patel reassigns Medicare benefits to Lake Norman Ophthalmology PLLC (Mooresville, NC). The 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 Tushar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tushar Patel accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tushar 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 Tushar Patel affiliated with any hospitals?

According to CMS data, Tushar Patel is affiliated with Lake Norman Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tushar Patel was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.