Nirav Patel, MD - Medicare Internal Medicine in Cumming, GA

Nirav Patel, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Cumming, Georgia. His current practice location is 1200 Northside Forsyth Dr, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (708) 443-2007.

Nirav Patel is licensed to practice in Georgia (license number 104787) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710541636.

Contact Information

Nirav Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659
(708) 443-2007
(833) 337-8221

Map and Direction




Physician's Profile

Full NameNirav Patel
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location1200 Northside Forsyth Dr, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710541636
  • Provider Enumeration Date: 04/25/2019
  • Last Update Date: 06/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365897642
  • Enrollment ID: I20231005002427

Medical Identifiers

Medical identifiers for Nirav Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710541636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD.45349 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 104787 (Georgia)Primary

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. Nirav Patel allows following entities to bill medicare on his behalf.
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20140219000913

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. Nirav 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
Nirav Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (708) 443-2007
Nirav Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (708) 443-2007

Reviews and Comments


Internal Medicine Doctors in Cumming, GA

Raghunath R Katragadda, MD
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Phone: 770-844-3200    Fax: 404-851-6325
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Dr. Arinze Hector Duru, M.D
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Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
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Dr. Jeffrey Desalvo, M.D.
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Phone: 770-844-3200    Fax: 404-851-6325
Dr. Fernando R. Alvarez-bognar, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 260 Elm St, Cumming, GA 30040
Phone: 770-887-1668    Fax: 770-781-9937
Dr. Tyler Inchul An, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040
Phone: 404-446-0600    Fax: 404-446-0601

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.