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DR. SANJAY ARUN PATEL M.D., M.P.H.
NPI 1992765218
Internal Medicine - Critical Care Medicine in Raleigh, NC

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
3024 NEW BERN AVE, SUITE G03, RALEIGH, NC 27610(919) 350-7270(919) 350-7204 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Mar 16, 2021 (2 updates tracked since 2021).

About Dr. Sanjay Arun Patel M.d., M.p.h. NPPES

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

DR. SANJAY ARUN PATEL M.D., M.P.H. (NPI 1992765218) is an individual critical care medicine provider in Raleigh, North Carolina, licensed in North Carolina (2010-00146) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of University Of Pittsburgh School Of Medicine (1996).

NPPES Registry Identity

NPI1992765218
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SANJAY ARUN PATELCredential: M.D., M.P.H.
Location Address3024 NEW BERN AVE, SUITE G03Raleigh, NC 27610-1247
Mailing AddressPo Box 603949Charlotte, NC 28260-3949
Phone(919) 350-7270
Fax(919) 350-7204
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1996
Enumeration DateMarch 23, 2006
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1992765218 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
License✔ Licensed in NC · 2010-00146
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 2010-00146 (NC)
3024 NEW BERN AVE, Raleigh, NC 27610
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Other Identifiers 1

Medicaid001807977PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Dr. Sanjay Arun Patel M.d., M.p.h. 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 ID7113826371
PECOS Enrollment IDI20100601000287
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 Reassignment

Medicare enrollment records show Sanjay Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed Specialists Group, LLC
Same address
Otolaryngology
3024 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
NPI 1053976415 (919) 350-7856

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 6

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 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.
99 services67 patients
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.
88 services63 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.
88 services60 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
37 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
32 services32 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 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.

VALERIE J RINEHAMMER PNP
Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7846
WAKEMED FACULTY PRACTICE PLAN
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. KAREN NEFF CHILTON M.D.
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Wake County (919) 350-8493
DR. SAMER TAJ-ELDIN M.D.
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7270
VIRGINIA GRACE CATES PA-C
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-5318
MS. KAYLA ANNE CADDEN PA-C
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7331
DON M. ARMSTRONG MD
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7084
KATHLEEN A ROWE NP
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610
Wake County (919) 350-8729

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 Sanjay Patel's NPI number?

The NPI number for Sanjay Patel is 1992765218. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Sanjay Patel located?

Sanjay Patel practices at 3024 New Bern Ave Suite G03, Raleigh, NC 27610. The listed phone number is (919) 350-7270.

What is Sanjay Patel's specialty?

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

Is Sanjay Patel enrolled in Medicare?

Yes. Sanjay 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 organization bills Medicare for Sanjay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Patel reassigns Medicare benefits to Wakemed Specialists Group, LLC (Raleigh, NC). The 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 Sanjay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Patel accept?

Health plans from Cigna Healthcare list Sanjay 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 Sanjay Patel affiliated with any hospitals?

According to CMS data, Sanjay Patel is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Patel was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.