Individual provider Active NPI

Tarak Vipinchandra Patel, M.D.

  • Infectious Disease Physician
  • Augusta, GA
National Provider Identifier
1578751871
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
066394 Issued in GA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 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

IdentifierTypeStateIssuer
003116928AMedicaidGA
52533620OtherGABCBS OF GA
GA1232MedicaidSC

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
I20111129000268 GA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6204915358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Consultants PCGroup PAC ID 4587550298, 10 clinicians

Practice addresses (Care Compare)

5400 Laurel Springs Pkwy
Suite 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
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

LicenseStateTypeSpecialty
35744NCMDLicensed Practical Nurse
2008-01629NCMDInternal Medicine Physician
066394GAMDInfectious Disease Physician
43503TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, PC Infectious Disease CurrentSince Sep 1, 2024 Accepting new patients
Dwarikesh, LLC Infectious Disease CurrentSince Sep 16, 2013 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.