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MUKUL VASANT PATHARKAR M.D.
NPI 1922157338
Internal Medicine - Infectious Disease in Fayetteville, GA

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1265 HIGHWAY 54 W, SUITE 500-C, FAYETTEVILLE, GA 30214(678) 435-3040(678) 435-3044 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mukul Vasant Patharkar M.d. NPPES

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

MUKUL VASANT PATHARKAR M.D. (NPI 1922157338) is an individual infectious disease provider in Fayetteville, Georgia, licensed in Georgia (73781) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1922157338
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMUKUL VASANT PATHARKARCredential: M.D.
Location Address1265 HIGHWAY 54 W, SUITE 500-CFayetteville, GA 30214-4548
Mailing Address77 12th St Ne, Apt 2012Atlanta, GA 30309-3972 · (347) 247-9526
Phone(678) 435-3040
Fax(678) 435-3044
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 9, 2007
Last NPPES UpdateApril 17, 2017
✔ NPI 1922157338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in GA · 73781✔ Licensed in GA · 073781
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1265 HIGHWAY 54 W, Fayetteville, GA 30214
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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

Mukul Vasant Patharkar 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 ID7012078413
PECOS Enrollment IDI20151006000953
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 7

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 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.
334 services156 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.
196 services136 patients
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.
140 services130 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.
89 services75 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.
72 services69 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.
69 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%78 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 47 patients
100%62 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%106 patients4/55-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…
87%144 patients4/55-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
17%127 patients1/55-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
51%41 patients3/55-star benchmark: 98%
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.

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.

MR. RYAN CHRISTOPHER YOLITZ PT
Physical Therapist
1265 HIGHWAY 54 W, SUITE 103 AND 308
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
A CUT ABOVE SURGICAL ASSISTING, LLC
Specialist/Technologist, Other (Surgical Assistant)
1265 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (404) 862-0746
DR. JOHN E BURNEY M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6550
DR. BRYAN L WOODS M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (770) 719-3240
DR. JARRYD A JACKSON PHARMD
Pharmacist
1265 HIGHWAY 54 W, SUITE #201
FAYETTEVILLE, GA 30214
Fayette County (678) 435-3046
DAVID MICHEL PA
Physician Assistant (Medical)
1265 HIGHWAY 54 W, SUITE 102
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
OLUMUYIWA JOSHUA MD
Internal Medicine (Critical Care Medicine)
1265 HIGHWAY 54 W, SUITE 500-D
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5625
CAROL D MARTIN NP
Nurse Practitioner
1265 HIGHWAY 54 W, SUITE 409
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6505

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 Mukul Patharkar's NPI number?

The NPI number for Mukul Patharkar is 1922157338. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Mukul Patharkar located?

Mukul Patharkar practices at 1265 Highway 54 W Suite 500-C, Fayetteville, GA 30214. The listed phone number is (678) 435-3040.

What is Mukul Patharkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mukul Patharkar enrolled in Medicare?

Yes. Mukul Patharkar 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.

What insurance does Mukul Patharkar accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mukul Patharkar 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 Mukul Patharkar affiliated with any hospitals?

According to CMS data, Mukul Patharkar is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mukul Patharkar was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.