Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VAISHALI HARSHUL PATEL MD
NPI 1942437603
Family Medicine in Cadiz, KY

Q: What is Vaishali Patel's NPI number?

The NPI number for Vaishali Patel is 1942437603. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Q: What is Vaishali Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vaishali Patel was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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 June 19, 2009PECOS Enrolled

75/100

CMS Quality Rating

116 MAIN ST, CADIZ, KY 42211(270) 350-4504(270) 350-4590 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2023, Jun 19, 2018 (2 updates tracked since 2018).

On this page

About Vaishali Harshul Patel Md NPPES

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

VAISHALI HARSHUL PATEL MD (NPI 1942437603) is an individual family medicine provider in Cadiz, Kentucky, licensed in Kentucky (44458) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1942437603

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVAISHALI HARSHUL PATELCredential: MD

Location Address116 MAIN STCadiz, KY 42211-9163

Mailing Address116 Main StCadiz, KY 42211-9163 · (270) 350-4504 · Fax (270) 350-4590

Phone(270) 350-4504

Fax(270) 350-4590

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 19, 2009

Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1942437603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 44458

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 44458 (KY)

116 MAIN ST, Cadiz, KY 42211

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Secondary Practice Locations 5

Location 11724 Kenton St Ste 1DHopkinsville, KY 42240-1981 · Phone (270) 887-9066

Location 2250 Main StCadiz, KY 42211-9153 · Phone (270) 350-4504

Location 3200 Clinic DrMadisonville, KY 42431-1661 · Phone (270) 825-7200

Location 4310 Hawthorne StPrinceton, KY 42445-1622 · Phone (270) 365-2494 · Fax (270) 365-2496

Location 51721 Canton StHopkinsville, KY 42240-1991 · Phone (270) 632-4525 · Fax (270) 632-4526

Other Identifiers 1

OtherP00994987KY · Railroad Medicare

Accepted Insurance

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

Vaishali Harshul 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 ID8820112659

PECOS Enrollment IDI20100901000185, I20120831000698

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 Vaishali Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maanya LLC

Same address

Family Medicine

116 MAIN ST
Cadiz, KY 42211

Reassigned Medicare billing, Kentucky enrollment
15 clinicians in this Medicare group

NPI 1326424177 (270) 350-4504

Trigg County Hospital, Inc

0.6 mi

Critical Access

254 MAIN ST
Cadiz, KY 42211

Reassigned Medicare billing, Kentucky enrollment
57 clinicians in this Medicare group

NPI 1538218680 (270) 522-3215

Southeastern Emergency Physicians LLC

252 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Kentucky enrollment
828 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Provider Partners Care Management LP

622 mi

Nurse Practitioner

8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045

Reassigned Medicare billing, Kentucky enrollment
100 clinicians in this Medicare group

NPI 1013348028 (443) 275-9800

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 14

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

584 services98 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.

107 services85 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

62 services58 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.

56 services51 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.

50 services43 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

47 services17 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

40 services29 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

39 services38 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

32 services25 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

32 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

12 services12 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

12 services12 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181304

Location254 Main StreetCadiz, KY 42211 · Trigg County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42211 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

75/100

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

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims25 services$5.16 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier15 claims280 services$4.45 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.46 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers14 claims28 services$61.00 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

2 suppliers14 claims84 services$24.88 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims216 services$8.32 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier20 claims559 services$7.11 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims4,901 services$0.39 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$54.95 avg. paid by Medicare

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$120.28 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers32 claims32 services$17.60 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

5 suppliers49 claims49 services$88.37 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$34.10 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims1,230 services$0.07 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers15 claims15 services$20.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers35 claims35 services$187.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$18.84 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 11

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

LESLIE JOHNSON APRN

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

KATI SUZANNE WHITEFORD FNP-BC

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

CHRISTOPHER ALLEN RUSHING

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

JANA ROZMARYNOWSKI PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

MAANYA LLC

Family Medicine

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

CHRYSTAL ROGERS APRN

Nurse Practitioner (Primary Care)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

DR. HARSHUL AMRUT PATEL M.D.

Internal Medicine

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

MAANYA LLC

Clinic/Center (Rural Health)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

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 Vaishali Patel's NPI number?

The NPI number for Vaishali Patel is 1942437603. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Vaishali Patel located?

Vaishali Patel practices at 116 Main St, Cadiz, KY 42211. The listed phone number is (270) 350-4504.

What is Vaishali Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vaishali Patel enrolled in Medicare?

Yes. Vaishali 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 Vaishali Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaishali Patel reassigns Medicare benefits to 4 organizations: Maanya LLC (Cadiz, KY), Trigg County Hospital, Inc (Cadiz, KY), Southeastern Emergency Physicians LLC (Maysville, KY) and Provider Partners Care Management LP (Columbia, MD). 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 Vaishali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaishali Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Vaishali 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 Vaishali Patel affiliated with any hospitals?

According to CMS data, Vaishali Patel is affiliated with Jennie Stuart Medical Center, Baptist Health Deaconess Madisonville and Trigg County Hospital.

When was this NPI record last updated?

The NPPES record for Vaishali Patel was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.