Active NPI
Tarak Vipinchandra Patel, M.D.
- Infectious Disease Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 066394
- Practice address
- 1224 Augusta West Pkwy
Augusta, GA 30909-6582 - Phone
- (706) 922-0191
- Fax
- (706) 922-0192
- NPI assigned
- Oct 11, 2007
- Last updated
- Aug 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008-01629 | NC | |
| Infectious Disease Physician | 207RI0200X | 066394 | GA | Primary |
| Hospitalist Physician | 208M00000X | 43503 | TN |
Addresses
Primary practice location
1224 Augusta West Pkwy
Augusta, GA 30909-6582
Mailing address
1224 Augusta West Pkwy
Augusta, GA 30909-6582
Phone (706) 922-0191
Other practice location 1
759 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone (770) 995-0466
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003116928A | Medicaid | GA | |
| 52533620 | Other | GA | BCBS OF GA |
| GA1232 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5400 Laurel Springs Pkwy
Suite 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Piedmont Eastside Medical Center
- Northside Hospital Gwinnett
- Northside Hospital Duluth
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.87 of 100
- Quality
- 84.34
- Improvement activities
- 40
- Cost
- 83.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35744 | NC | MD | Licensed Practical Nurse |
| 2008-01629 | NC | MD | Internal Medicine Physician |
| 066394 | GA | MD | Infectious Disease Physician |
| 43503 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Consultants, PC | Infectious Disease | Current | Accepting new patients |
| Dwarikesh, LLC | Infectious Disease | Current | Accepting new patients |
| Inpatient Consultants of Tennessee, P.C. | Internal Medicine | Past | Accepting new patients |
| Moses Cone Medical Services, Inc. | Past | Accepting new patients |
Locations
1224 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 860-2986
759 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 300-2379
5400 Laurel Springs Pkwy
Ste 1404
Suwanee, GA 30024
Phone (678) 347-2153
6916 McGinnis Ferry Rd
#100
Suwanee, GA 30024
Phone (678) 347-2100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIAABD
Organizations & group practices 5
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.
-
- Infectious Disease Physician
- Suwanee, GA
- NPI 1225087745
-
dba CliniCare ID Consultants of CSRA
- Infectious Disease Physician
- Augusta, GA
- NPI 1366876922
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Internal Medicine
-
dba Western Rockingham Family Medicine
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucker, GA
- NPI 1477501179
-
dba Piedmont Eastside Medical Center
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1578751871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096582",
"telephone_number": "706-922-0191",
"fax_number": "706-922-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096582",
"telephone_number": "706-922-0191",
"fax_number": "706-922-0192"
}
],
"practiceLocations": [
{
"address_1": "759 Old Norcross Rd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300464317",
"country_code": "US",
"telephone_number": "770-995-0466",
"fax_number": "770-995-0472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "TARAK",
"middle_name": "VIPINCHANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2008-01629",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "066394",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "43503",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003116928A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA",
"identifier": "52533620",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GA1232",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.