Vaishali Patel, MD
NPI 1124261656 · Gastroenterology Physician · Center Valley, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vaishali Patel, MD is a Gastroenterology Physician provider in Center Valley, PA (NPI 1124261656).
Provider details
- NPI number
- 1124261656
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2013-01106 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
196 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 29 | $66 |
| Removal of Stone Or Debris From Bile Or Pancreatic Duct Using a Flexible Endoscope43264 | 27 | $97 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 24 | $242 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $123 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 20 | $116 |
| Insertion of Stent Into Pancreatic Or Bile Duct Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 36 | 14 |
| Omeprazole | 32 | 19 |
| Lipase/Protease/Amylasebrand: Creon | 27 | — |
| Dicyclomine Hcl | 23 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 21 | 21 |
| Sucralfate | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$205 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1364 Clifton Rd NeAtlanta, GA 30322-3941Phone: (404) 778-3184
- 2100 Erwin RdDurham, NC 27705-3941Phone: (919) 684-8111
Registry dates
- Enumerated
- 2009-04-14
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Frequently asked questions
- What is Vaishali Patel's NPI number?
- Vaishali Patel's National Provider Identifier (NPI) is 1124261656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vaishali Patel's specialty?
- Vaishali Patel is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Vaishali Patel located?
- Vaishali Patel's practice location on file with NPPES is 4505 Saucon Creek Rd, Center Valley, PA 18034-8481.
- What is Vaishali Patel's phone number?
- The practice phone number listed in the NPPES registry for Vaishali Patel is (484) 526-6545.
- Does Vaishali Patel accept Medicare?
- Vaishali Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vaishali Patel's NPI active?
- Yes — Vaishali Patel's NPI (1124261656) is active in the NPPES registry as of the last update on 2024-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.