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

VIRAL PATEL M.D.
NPI 1942691209
Internal Medicine - Critical Care Medicine in Kissimmee, FL

Active since February 09, 2015PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
1121 N CENTRAL AVENUE, KISSIMMEE, FL 34741(407) 933-1221(407) 933-1121 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Mar 19, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Viral Patel M.d. NPPES

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

VIRAL PATEL M.D. (NPI 1942691209) is an individual critical care medicine provider in Kissimmee, Florida, licensed in Florida (ME128407) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1942691209
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameVIRAL PATELCredential: M.D.
Location Address1121 N CENTRAL AVENUEKissimmee, FL 34741
Mailing Address1121 N Central AveKissimmee, FL 34741-4405 · (407) 933-1221 · Fax (407) 933-1121
Phone(407) 933-1221
Fax(407) 933-1121
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 9, 2015
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1942691209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in FL · ME128407✔ Licensed in NC · 2025-03079
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME128407 (FL)
1121 N CENTRAL AVENUE, Kissimmee, FL 34741
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1101 Hospital DrColumbus, NC 28722-6418 · Phone (407) 303-7283 · Fax (407) 303-0473
Location 2100 Hospital DrHendersonville, NC 28792-5272 · Phone (407) 303-7283 · Fax (407) 303-0473
Location 3601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-7283 · Fax (407) 303-0347

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Viral 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 ID5395039291
PECOS Enrollment IDI20170726002592, I20260310003111
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

5

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

Pulmonary Disease Specialists, PA
Same address
Pulmonary Disease
1121 N CENTRAL AVE, SUITE B
Kissimmee, FL 34741
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1649484809 (407) 933-1221
Florida Hospital Medical Group Inc
17 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Adventist Health System Georgia Inc
475 mi
Multi-Specialty
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 384 clinicians in this Medicare group
NPI 1699791343 (706) 602-7800
Adventist Health Partners, Inc
992 mi
Internal Medicine
644 S WEBER RD
Romeoville, IL 60446
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1740536812 (815) 254-3783
Shawnee Mission Medical Center Inc
1,059 mi
Family Medicine
15710 W 135TH ST STE 200
Olathe, KS 66062
  • Reassigned Medicare billing, Kansas enrollment
  • 384 clinicians in this Medicare group
NPI 1326551144 (913) 297-7472

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

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.

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.
343 services141 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34741 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.55
Improvement Activities40

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
3 suppliers28 claims28 services$13.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
7 suppliers76 claims76 services$4.57 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
10 suppliers118 claims118 services$66.62 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
7 suppliers86 claims86 services$30.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
8 suppliers21 claims21 services$24.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Viral Patel's NPI number?

The NPI number for Viral Patel is 1942691209. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Viral Patel located?

Viral Patel practices at 1121 N Central Avenue, Kissimmee, FL 34741. The listed phone number is (407) 933-1221.

What is Viral Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Viral Patel enrolled in Medicare?

Yes. Viral 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 Viral Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viral Patel reassigns Medicare benefits to 5 organizations: Pulmonary Disease Specialists, PA (Kissimmee, FL), Florida Hospital Medical Group Inc (Orlando, FL), Adventist Health System Georgia Inc (Calhoun, GA), Adventist Health Partners, Inc (Romeoville, IL) and Shawnee Mission Medical Center Inc (Olathe, KS). 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 Viral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Viral Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 4 other insurers list Viral 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 Viral Patel affiliated with any hospitals?

According to CMS data, Viral Patel is affiliated with Adventhealth Orlando, Adventhealth New Smyrna Beach, Adventhealth Deland, Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Viral Patel was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.