Ketan M Patel, MD - Medicare Hospitalist in Cumming, GA

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Ketan M Patel, MD is a medicare enrolled "Hospitalist" physician in Cumming, Georgia. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice North Atlanta Professional Services Llc and his current practice location is 1200 Northside Forsyth Dr, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 844-3200.

Ketan M Patel is licensed to practice in Georgia (license number 63790) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326054305.

Contact Information

Ketan M Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659
(770) 844-3200
(404) 851-6325

Map and Direction




Physician's Profile

Full NameKetan M Patel
GenderMale
SpecialityHospitalist
Experience32 Years
Location1200 Northside Forsyth Dr, Cumming, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ketan M Patel graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1326054305
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113827387
  • Enrollment ID: I20100831000165

Medical Identifiers

Medical identifiers for Ketan M Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326054305NPI-NPPES
286053OtherANTHEM/BCBS
473139726BMedicaidGA
1804781000OtherWVWV MEDICAID
5853745MedicaidVA
700027131OtherCIGNA
20649OtherVAOPTIMA
110219768OtherRAILROAD MEDICARE
1000870001OtherVADME PROVIDER
146213OtherSOUTHERN HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 63790 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital
Novant Health Uva Health Haymarket Medical CenterHaymarket, VAHospital
Novant Prince William Medical CenterManassas, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Atlanta Professional Services Llc0840291944374

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ketan M Patel allows following entities to bill medicare on his behalf.
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053
Entity NameCogent Healthcare Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20040527000856
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545
Entity NameNorth Atlanta Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316959869
PECOS PAC ID: 0840291944
Enrollment ID: O20070116000197
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ketan M Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ketan M Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (770) 844-3200		Ketan M Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (770) 844-3200

Reviews and Comments


Hospitalist Doctors in Cumming, GA

Dr. Michael C. Sergeant, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 770-844-3200    Fax: 404-851-6325
Dr. Thomas Joseph Carollo Jr., M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 770-844-3200    Fax: 404-851-6325
Dr. Usha Bangalore Krishnappa, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 404-844-3200    Fax: 404-851-6325
Dr. Thanh Nguyen, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 770-844-3200    Fax: 770-844-3227

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.