DR. RONAK PATEL DO
NPI 1962935585
Internal Medicine in Cartersville, GA

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120(470) 490-2142 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Feb 22, 2021, Nov 30, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Ronak Patel Do NPPES

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

DR. RONAK PATEL DO (NPI 1962935585) is an individual internal medicine provider in Cartersville, Georgia, licensed in Georgia (101069) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962935585
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RONAK PATELCredential: DO
Location Address960 JOE FRANK HARRIS PKWY SECartersville, GA 30120-2129
Mailing Address1514 Sheridan Rd Ne, Apt 3002Atlanta, GA 30324-5458 · (706) 231-6287
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1962935585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 101069 Licensed in SC · 83393
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 101069 (GA)
960 JOE FRANK HARRIS PKWY SE, Cartersville, GA 30120

Secondary Practice Locations 3

Location 1101 E Wood St Ste 401Spartanburg, SC 29303-3040 · Phone (864) 560-6654 · Fax (864) 560-7353
Location 23700 S Main StBlacksburg, VA 24060-7017 · Phone (706) 231-6287
Location 31000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282

Other Identifiers 3

OtherSCJ1589068SC · Medicare Pin
Medicaid833931SC
OtherSCJ1585019SC · Medicare Pin

Accepted 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

Dr. Ronak Patel Do 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 ID5597038893
PECOS Enrollment IDI20201202002877, I20250625002499
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 5

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.
309 services137 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.
207 services110 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services94 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.
58 services57 patients
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.
19 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers33 claims37 services$17.38 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
2 suppliers40 claims44 services$89.34 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 20

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

Nurse Practitioner
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Family Medicine
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Internal Medicine
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Internal Medicine
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Internal Medicine
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Physician Assistant
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Internal Medicine
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Pathology (Anatomic Pathology & Clinical Pathology)
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120

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 Ronak Patel's NPI number?

The NPI number for Ronak Patel is 1962935585. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Ronak Patel located?

Ronak Patel practices at 960 Joe Frank Harris Pkwy SE, Cartersville, GA 30120. The listed phone number is (470) 490-2142.

What is Ronak Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ronak Patel enrolled in Medicare?

Yes. Ronak 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.

What insurance does Ronak Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Ronak 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 Ronak Patel affiliated with any hospitals?

According to CMS data, Ronak Patel is affiliated with Piedmont Cartersville Medical Center, Northside Hospital Gwinnett, Northside Hospital, Northside Hospital Duluth and Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Ronak Patel was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.