NPPES file of Aug 9, 2026

Mitul T. Patel, MD

Gastroenterology Physician · Altoona, PA

Mitul T. Patel, MD is a gastroenterology physician with a practice address in Altoona, Pennsylvania, and NPI 1235347485, issued on May 20, 2007. Check the license (Pennsylvania MD451993, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1235347485
Name
Mitul T. Patel
Credential
MD
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
MD451993 PA
25MA08919100 NJ
Self-reported in NPPES; status is on the state search
Practice location
810 Valley View Blvd, Altoona, PA 16602
Phone
(814) 946-5469
Enumerated
May 20, 2007
Record last updated
Apr 15, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20140812001562); accepts Medicare assignment
Medical or professional school
Rutgers School Of Dental Medicine, 2005
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 810 Valley View Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rajih Alkhafaji, M.D.Gastroenterology Physician1932133493
  2. Paul Augenstein, PA-CPhysician Assistant1740209055
  3. Robert Bailey, D.O.Gastroenterology Physician1568695039
  4. Loni Baird, PA-CPhysician Assistant1467426148
  5. David BeckPhysician Assistant1770502007
  6. Kaelee Bresslin, PA-CStudent in an Organized Health Care Education/Training Program1427981943

Verify Mitul T. Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD451993
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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54% fewer Medicare Part D claims than the average gastroenterology physician in 2024

375 Medicare Part D claims for 183 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.

  1. Mitul Patel375
  2. Specialty average811

Most prescribed

  1. Pantoprazole Sodium116 claims
  2. Omeprazole76 claims
  3. Gavilyte-C44 claims
  4. Famotidine41 claims
  5. Hydrocortisone17 claims
  6. Sucralfate13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 94.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score90.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $20,051.75

53 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Mitul Patel$20,052
  2. Specialty average$5,016

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Regional Gastroenterology Associates OF Lancaster, Ltd.Lancaster, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mitul T. Patel among 1,049 gastroenterology physician records in Pennsylvania

Mitul T. Patel, MD is one of 1,049 gastroenterology physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 53% of them.

  • NPI issued2007 · 53% of these records are older, 38% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated2005 · median 2003 among the 769 with a school on file
  • Record last updated2021 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Pennsylvania

There are 1,049 gastroenterology physician records in Pennsylvania.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Rajih Alkhafaji, M.D.Altoona, PA 166021932133493
  2. Robert Bailey, D.O.Altoona, PA 166021568695039
  3. Edmond Bouassaf, M.D.Altoona, PA 166021346449071
  4. Ronald Brzana, M.D.Altoona, PA 166021861426173
  5. Lance Defrancisco, M.D.Altoona, PA 166021306864400
  6. Jonathan Grier, M.D.Altoona, PA 166021326199035
  7. David Kerstetter, M.D.Altoona, PA 166021619994076
  8. Ralph McKibbin, M.D.Altoona, PA 166021467486035

Common questions

What is Mitul T. Patel, MD's NPI number?

Mitul T. Patel, MD's National Provider Identifier (NPI) is 1235347485, issued on May 20, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Mitul T. Patel, MD located?

The NPPES record lists a practice address at 810 Valley View Blvd, Altoona, PA, 16602. Phone: (814) 946-5469. Providers update this record themselves, so call before visiting.

How can I verify Mitul T. Patel, MD's license?

NPPES lists Pennsylvania license number MD451993, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Mitul T. Patel, MD prescribe under Medicare Part D?

In 2024, Mitul T. Patel, MD had 375 Medicare Part D claims for 183 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Mitul T. Patel, MD's MIPS final score?

The 2023 MIPS final score is 94.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.