KRISHNA PATEL MD
NPI 1952371379
Family Medicine in Macon, GA

Q: What is Krishna Patel's NPI number?

The NPI number for Krishna Patel is 1952371379. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Krishna 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 Krishna Patel was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 26, 2006PECOS Enrolled

3400 RIVERSIDE DR, MACON, GA 31210(478) 474-5600(478) 633-6796 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Krishna Patel Md NPPES

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

KRISHNA PATEL MD (NPI 1952371379) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (040512) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952371379

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKRISHNA PATELCredential: MD

Location Address3400 RIVERSIDE DRMacon, GA 31210-2513

Mailing Address3400 Riverside DrMacon, GA 31210-2513 · (478) 474-5600 · Fax (478) 633-6796

Phone(478) 474-5600

Fax(478) 633-6796

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1952371379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 040512

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.

3400 RIVERSIDE DR, Macon, GA 31210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krishna Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Krishna Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical Center Of Central Georgia Inc.

4.8 mi

Hospice Care, Community Based

6261 PEAKE RD STE B
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
61 clinicians in this Medicare group

NPI 1760557953 (478) 633-5660

Houston Hospitals Inc

19 mi

General Acute Care Hospital

1601 WATSON BLVD
Warner Robins, GA 31093

Reassigned Medicare billing, Georgia enrollment
61 clinicians in this Medicare group

NPI 1962435792 (478) 922-4281

Phoebe Dorminy Family Care

86 mi

Clinic/Center

110 NORMAN DORMINY DR
Fitzgerald, GA 31750

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1992084644 (229) 312-5800

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 2

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.

257 services243 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.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 14

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

DIPENKUMAR RAMESHCHANDRA PATEL M.D.

Family Medicine