ARTI PATEL (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1275662280

ARTI PATEL (M.D.) is a healthcare provider. based in Exton, Pennsylvania. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD430937 (PA). The NPI Number for ARTI PATEL (M.D.) is 1275662280

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ARTI PATEL (M.D.)
NPI
1275662280
Phone
(610) 594-7590
Address
412 CREAMERY WAY
Enumeration Date
5 March 2007
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4843374097
Graduation Year
1999 (27 years ago)
PAC ID
4981700978
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20070508000629
Address ID
PA193011763PA255XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

513 ENDOCRINOLOGY in PA

Provider Addresses for ARTI PATEL (M.D.)

  • 412 CREAMERY WAY

    SUITE 400

    EXTON, PA 193412551

    Phone: (610) 594-7590

    Fax: (610) 594-7597

    Type: Mailing

  • 210 MALL BLVD

    KING OF PRUSSIA, PA 194063261

    Phone: (215) 997-9441

    Fax: (215) 997-6730

    Type: Mailing

  • 795 E MARSHALL ST

    SUITE G2

    WEST CHESTER, PA 193804400

    Phone: (610) 431-7929

    Fax: (610) 594-2625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 173 Open Payments records for all available years, with a total value of $3,345.

Total Amount is formed as General ($3,345) + Research ($0) + Ownership ($0) = $3,345.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($444).

Total Amount

$3,345

General + Research + Ownership

Payments

173

Total payment records

General Amount

$3,345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-05-08

PECOS data refreshed: 2026-06-15

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
I20070508000629IEndocrinologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes704362$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report282133$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes17793$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17594$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9187$0
View full utilization report →

Insurance plans in this area (ZIP 19341)

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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: 1951215201View full group profile

Reviews

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Frequently asked questions

How do payers reference ARTI PATEL (M.D.)?
For ARTI PATEL (M.D.), use NPI 1275662280 as the unique 10-digit identifier.
Is there an active status for ARTI PATEL (M.D.)?
For scheduling context, ARTI PATEL (M.D.) is shown as active in the registry.
What expertise is attributed to ARTI PATEL (M.D.)?
ARTI PATEL (M.D.)'s specialty line reads Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is ARTI PATEL (M.D.) registered?
Use Exton, Pennsylvania as the headline location for ARTI PATEL (M.D.) here.
Does ARTI PATEL (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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