NPIMap

Individual provider Active NPI

Vaishali Arun Patel, MD

  • Gastroenterology Physician
  • Center Valley, PA
National Provider Identifier
1124261656
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD485690 Issued in PA
Practice address
4505 Saucon Creek Rd
Center Valley, PA 18034-8481
Phone
(484) 526-6545
NPI assigned
Apr 14, 2009
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2013-01106 NC
Gastroenterology Physician 207RG0100X 76129 GA
Gastroenterology Physician 207RG0100X MD485690 PA Primary

Addresses

Primary practice location

4505 Saucon Creek Rd
Center Valley, PA 18034-8481

Mailing address

5822 Ricky Ridge TRL
Orefield, PA 18069-8802
Phone (610) 780-5874

Other practice location 1

2100 Erwin Rd
Durham, NC 27705-3941
Phone (919) 684-8111

Other practice location 2

1364 Clifton Rd NE
Atlanta, GA 30322-3941
Phone (404) 778-3184

Other identifiers 1

IdentifierTypeStateIssuer
MD485690OtherPAPA STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160720002379 GA Practitioner - Gastroenterology 3971745647 Reassigns benefits to 1 organization
I20240801001738 PA Practitioner - Gastroenterology 3971745647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

360 W Riddle St
Coaldale, PA 18218-1027

4505 Saucon Creek Rd
Center Valley, PA 18034-8481
Phone (484) 526-6545

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76129GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Aug 5, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 5, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
St. Luke's Physician Group, Inc. Gastroenterology PastSince Jun 30, 2024 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

4505 Saucon Creek Rd
Center Valley, PA 18034

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: vpatel20199@direct.emory.org
  • Direct secure messaging: vpatel327553@direct-sluhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1124261656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 RICKY RIDGE TRL",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180698802",
            "telephone_number": "610-780-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SAUCON CREEK RD",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348481",
            "telephone_number": "484-526-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053941",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303223941",
            "country_code": "US",
            "telephone_number": "404-778-3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VAISHALI",
        "middle_name": "ARUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-01106",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "76129",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD485690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE MEDICAL LICENSE",
            "identifier": "MD485690",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.