PIYUSH I PATEL (M.D.) – Specialist, NPI 1356392039

PIYUSH I PATEL (M.D.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 57412 (GA). The NPI Number for PIYUSH I PATEL (M.D.) is 1356392039

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
PIYUSH I PATEL (M.D.)
NPI
1356392039
Phone
(770) 962-1231
Address
605 OLD NORCROSS RD
Enumeration Date
15 May 2006
Last Update Date
16 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702070850
Graduation Year
1984 (42 years ago)
PAC ID
9638181548
Group Practice PAC ID
4082519194
Professional Enrollment ID
I20060614000214
Address ID
GA306552054MO710XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

431 NEPHROLOGY in GA

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Provider Addresses for PIYUSH I PATEL (M.D.)

  • 605, Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300464315

    Phone: (770) 962-1231

    Fax: (770) 962-1231

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,211.

Total Amount is formed as General ($1,211) + Research ($0) + Ownership ($0) = $1,211.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: OPKO Pharmaceuticals, LLC ($226).

Total Amount

$1,211

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060614000214INephrologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes29243$0
99215Established patient office or other outpatient visit, 40-54 minutes199157$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes18129$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes16444$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days15746$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082519194View full group profile
NameSpecialtyState
N E P H R O L O G YGA
Internal Medicine, NephrologyGA

Reviews

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Frequently asked questions

What identifier follows PIYUSH I PATEL (M.D.) across health systems?
The NPI 1356392039 uniquely identifies PIYUSH I PATEL (M.D.) in U.S. healthcare data.
Is PIYUSH I PATEL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists PIYUSH I PATEL (M.D.) as active.
What does the directory say PIYUSH I PATEL (M.D.) does?
Insurance directories may phrase it differently, but here PIYUSH I PATEL (M.D.) maps to Other Service Providers. Clinical services aligned with this taxonomy classification.
Is PIYUSH I PATEL (M.D.) tied to Lawrenceville, Georgia?
If you are local to Lawrenceville, Georgia, PIYUSH I PATEL (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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