Individual provider Active NPI

Deeran Patel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Richmond Hill, GA
National Provider Identifier
1447754114
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
GA2023-2025 Issued in GA
Practice address
3760 US Highway 17 Unit 11
Richmond Hill, GA 31324-3378
Phone
(912) 910-3777
Fax
(912) 292-0005
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X GA2023-2025 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3760 US Highway 17 Unit 11
Richmond Hill, GA 31324-3378

Mailing address

117 Saint Andrews Rd
Rincon, GA 31326-4722

Other practice location 1

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 848-4670

Other practice location 2

604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Phone (912) 910-3777

Other practice location 3

1907 Sunset Blvd
Jesup, GA 31545-7813
Phone (912) 910-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231027001337 GA Practitioner - Pain Management 0547510760 Reassigns benefits to 1 organization
I20250507001315 DC Practitioner - AnesthesiologyPractitioner - Pain Management 0547510760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
93.67 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GA2023-2025GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC CurrentSince May 1, 2025 Accepting new patients
Pain Treatment Centers of Georgia LLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

1907 Sunset Blvd
Jesup, GA 31545
Phone (912) 530-7516

3760 US Highway 17
Unit 11
Richmond Hill, GA 31324
Phone (912) 910-2770

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

Organizations & group practices 2

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1447754114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SAINT ANDREWS RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313264722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 US HIGHWAY 17 UNIT 11",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243378",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-848-4670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W Oglethorpe Hwy",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134415",
            "country_code": "US",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315457813",
            "country_code": "US",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEERAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "GA2023-2025",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.