Individual provider Active NPI

Visharad Patel, D.O.

  • Vascular Surgery Physician
  • Suwanee, GA
National Provider Identifier
1437554698
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
87763 Issued in GA
Practice address
2685 Peachtree Pkwy Ste 320
Suwanee, GA 30024-1048
Phone
(770) 771-5260
Fax
(770) 771-5269
NPI assigned
Oct 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 87763 GA Primary

Addresses

Primary practice location

2685 Peachtree Pkwy Ste 320
Suwanee, GA 30024-1048

Mailing address

6709 Austin St Apt 4B
Forest Hills, NY 11375-3576

Other practice location 1

6709 Austin St Apt 4B
Forest Hills, NY 11375-3576
Phone (256) 338-5888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721003111 GA Practitioner - Vascular Surgery 8426451949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Vascular Clinic PCGroup PAC ID 9537396312, 4 clinicians

Practice addresses (Care Compare)

2685 Peachtree Pkwy
Suite 320
Suwanee, GA 30024-1048
Phone (770) 771-5260

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

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
Varicose vein removal26
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87763GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Vascular & Vein Center CurrentSince Sep 1, 2021 Accepting new patients
North Atlanta Vascular Clinic, PC Vascular Surgery CurrentSince Aug 1, 2021 Accepting new patients
North Atlanta Women'S Care, PC Past Accepting new patients

Locations

4040 Old Milton Pkwy
Ste 200
Alpharetta, GA 30005
Phone (770) 771-5270

1080 Sanders Rd
Ste 200
Cumming, GA 30041
Phone (770) 771-5270

771 Old Norcross Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 338-8362

2685 Peachtree Pkwy
Suwanee, GA 30024
Phone (770) 771-5260

2685 Peachtree Pkwy
Ste 320
Suwanee, GA 30024
Phone (770) 771-5260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIJAA

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1437554698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 AUSTIN ST APT 4B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 PEACHTREE PKWY STE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241048",
            "telephone_number": "770-771-5260",
            "fax_number": "770-771-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6709 Austin St Apt 4B",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753576",
            "country_code": "US",
            "telephone_number": "256-338-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHARAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "87763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.