NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1245762822 M.D.
Verify on CMS → Payal Patel, M.D.
Critical Care Medicine (Internal Medicine) Physician in Atlanta, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,916 in Critical Care Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
27
Medicare Part D claims · 12 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
What the federal data shows
Payal Patel, M.D. filed 27 Medicare Part D claims in 2024 as a Critical Care Medicine (Internal Medicine) Physician in Atlanta, Georgia.
- 27
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Payal Patel, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1245762822), first enumerated 04/01/2017.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 27 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1245762822 · Critical Care Medicine (Internal Medicine) Physician
NPI-10 · ENUM-RECENT · TAX-MID · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1245762822
- ENUM-RECENT 2017
- TAX-MID 7K Critical Care
- RX-TRACE 27
- BOOK-THIN 197 in Georgia
- PHOTO-ENUM Jora Zaroukian · 2017
Payal Patel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
27 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Payal Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Payal Patel, M.D.?
Quality data not reportedPrimary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
27 98% vs specialty avg
Specialty distribution in Georgia
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Georgia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine (Internal Medicine) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1245762822 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/01/2017 |
Hospital and facility affiliations
Facilities where Payal Patel, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Cep America LLC
Lithonia, GA
Northside Primary Care Professional Services,llc
Atlanta, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
27
Total Claims
$24K
Total Drug Cost
12
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 27
- Total Day Supply
- 357
- Generic Drug Cost
- $122
Patient Demographics
- Average Patient Age
- 67.0 years
- Avg HCC Risk Score
- 2.87
More Critical Care Medicine (Internal Medicine) Physician in GA →
All providers in Georgia →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Payal Patel, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,916
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,103
Avg Claims per Provider
Payal Patel, M.D.'s 27 claims are below the specialty average of 1,103.
Nationwide Critical Care Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Georgia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2017)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Patel.
One of 197 Critical Care Medicine (Internal Medicine) Physician providers enrolled in Georgia, 5 are shown here.
Frequently Asked Questions
What is Payal Patel, M.D.'s specialty? ▼
Payal Patel, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Atlanta, Georgia. Credentials: M.D..
How much does Payal Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Payal Patel, M.D. wrote 27 Medicare Part D claims totaling $24K in drug costs for 12 beneficiaries.
Where is Payal Patel, M.D. located? ▼
Payal Patel, M.D. is located at 960 JOHNSON FERRY RD STE 500, Atlanta, GA, 30342. Phone: (404) 257-0006.
What is Payal Patel, M.D.'s NPI number? ▼
Payal Patel, M.D.'s National Provider Identifier (NPI) is 1245762822, issued on 04/01/2017.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,916 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,103 Medicare Part D claims per year.
Does Payal Patel, M.D. accept Medicare? ▼
Payal Patel, M.D. appears in CMS Medicare data with 27 Part D claims and 12 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Payal Patel, M.D.'s credentials? ▼
Payal Patel, M.D.'s NPI is 1245762822 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.