Active NPI 1174636716 Individual Practitioner Male Practitioner

Dr. Tushar G Patel , MD

Internal Medicine • Chantilly, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Tushar Patel, MD is a certified Internal Medicine practicing in Chantilly, VA. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Patel delivers high-quality medical care to the local community at 3914 CENTREVILLE RD.

Dr. Patel maintains professional affiliations with Inova Health Care Services, Inova Physician Partners Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3914 Centreville Rd
Suite 250

Chantilly, VA 201513289

Telephone 7034351223

Fax 7034351868

Associated Practice Facility / Clinic

🏢 Northern Virginia Center For Gastrointestinal Endoscopy,pllc Facility NPI 1376768283

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chantilly, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +17.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Chantilly, VA (3758 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (45 Years) 45 Yrs

Chantilly Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	299	$289.00	$145.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	306	306	$315.00	$149.20
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	279	42	$113.00	$70.83
99213 Established patient office or other outpatient visit, typically 15 minutes	142	114	$191.00	$102.90
G0008 Administration of influenza virus vaccine	126	121	$61.00	$35.85
90662 Influenza vaccine split virus, preservative free	117	114	$123.00	$80.89
93000 Routine ekg using at least 12 leads including interpretation and report	51	47	$52.00	$16.49
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	28	28	$554.00	$289.45
G0009 Administration of pneumococcal vaccine	28	28	$61.00	$35.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$146.00	$61.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$456.00	$189.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$456.00	$187.94
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$51.00	$16.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	529	336	$288.75	$145.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	287	287	$315.00	$147.75
99213 Established patient office or other outpatient visit, typically 15 minutes	154	121	$191.00	$103.35
G0008 Administration of influenza virus vaccine	121	120	$60.60	$34.59
90662 Influenza vaccine split virus, preservative free	116	116	$123.00	$71.75
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	59	30	$113.40	$70.79
93000 Routine ekg using at least 12 leads including interpretation and report	54	51	$52.32	$16.79
G0009 Administration of pneumococcal vaccine	34	34	$60.60	$34.63
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	34	34	$553.83	$281.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	30	$146.48	$60.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$455.96	$188.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$455.96	$188.59
0124A Fee covid-19 vac 13 res	12	12	$95.20	$46.19
81003 Automated urinalysis test	11	11	$7.35	$2.20
J1030 Injection, methylprednisolone acetate, 40 mg	11	11	$13.36	$7.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	589	349	$275.00	$148.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	295	295	$300.00	$152.15
G0008 Administration of influenza virus vaccine	149	147	$57.71	$34.66
90662 Influenza vaccine split virus, preservative free	144	142	$120.75	$68.31
99213 Established patient office or other outpatient visit, typically 15 minutes	95	72	$188.00	$105.83
G0009 Administration of pneumococcal vaccine	72	72	$57.71	$34.78
93000 Routine ekg using at least 12 leads including interpretation and report	60	57	$49.83	$16.97
0124A Fee covid-19 vac 13 res	48	48	$90.67	$45.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$237.45	$132.41
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	34	34	$553.83	$278.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	32	$139.50	$62.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$422.00	$194.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$434.25	$193.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$434.25	$193.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$63.00	$28.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	547	332	$275.40	$151.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	245	245	$296.10	$155.55
G0008 Administration of influenza virus vaccine	125	125	$57.71	$20.07
90662 Influenza vaccine split virus, preservative free	120	120	$120.75	$65.26
0012A Adm sarscov2 100mcg/0.5ml2nd	100	100	$85.06	$36.26
0011A Adm sarscov2 100mcg/0.5ml1st	97	97	$51.00	$24.25
99213 Established patient office or other outpatient visit, typically 15 minutes	88	69	$192.64	$107.29
93000 Routine ekg using at least 12 leads including interpretation and report	63	58	$49.73	$17.69
G0009 Administration of pneumococcal vaccine	46	46	$57.48	$20.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$233.16	$125.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$416.27	$195.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	33	$136.44	$62.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$428.14	$195.85
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$420.13	$196.29
0031A Adm sarscov2 vac ad26 .5ml	13	13	$85.00	$43.89
99495 Transitional care management services for problem of at least moderate complexity	12	11	$458.00	$242.61
0004A Fee covid-19 vac 1 res	11	11	$90.67	$47.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	282	$263.00	$125.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$282.00	$135.84
99213 Established patient office or other outpatient visit, typically 15 minutes	165	128	$178.00	$86.85
G0008 Administration of influenza virus vaccine	133	129	$57.00	$19.36
90682 Influenza vaccine, quadrivalent derived from recombinant dna	108	108	$105.09	$60.98
G0009 Administration of pneumococcal vaccine	60	60	$57.00	$19.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	34	$134.00	$61.30
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$49.56	$20.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$224.88	$119.10
90670 Pneumococcal vaccine for injection into muscle	28	28	$423.98	$220.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$404.00	$189.00
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	23	$44.00	$19.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$420.00	$198.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$267.00	$123.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$398.96	$193.65
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$169.31	$85.39
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$49.00	$20.21
81002 Urinalysis, manual test	11	11	$8.00	$3.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	295	$263.00	$122.04
99213 Established patient office or other outpatient visit, typically 15 minutes	289	188	$178.00	$84.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	217	217	$282.00	$133.13
G0008 Administration of influenza virus vaccine	116	114	$57.00	$19.06
90682 Influenza vaccine, quadrivalent derived from recombinant dna	86	86	$105.09	$54.89
G0009 Administration of pneumococcal vaccine	74	74	$57.00	$19.06
93000 Routine ekg using at least 12 leads including interpretation and report	55	54	$49.34	$19.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	33	$337.00	$115.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$198.01	$110.54
90670 Pneumococcal vaccine for injection into muscle	33	33	$391.71	$208.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	18	$63.00	$19.36
81002 Urinalysis, manual test	31	28	$8.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$404.00	$186.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$420.00	$195.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$267.00	$124.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	23	$134.00	$61.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$44.00	$18.65
J1030 Injection, methylprednisolone acetate, 40 mg	25	16	$10.62	$6.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$233.00	$80.94
83036 Hemoglobin A1C level	17	16	$31.00	$10.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$397.22	$188.75
G0102 Prostate cancer screening; digital rectal examination	14	14	$50.00	$26.31
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$49.00	$19.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	482	284	$263.00	$120.27
99213 Established patient office or other outpatient visit, typically 15 minutes	324	202	$178.00	$82.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	164	164	$282.00	$132.45
G0008 Administration of influenza virus vaccine	138	135	$57.00	$23.72
90662 Influenza vaccine split virus, preservative free	127	124	$77.18	$52.03
G0009 Administration of pneumococcal vaccine	99	99	$57.00	$23.72
93000 Routine ekg using at least 12 leads including interpretation and report	54	49	$49.00	$19.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	50	50	$168.72	$105.59
90670 Pneumococcal vaccine for injection into muscle	48	48	$308.00	$197.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$420.00	$193.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	33	$63.00	$23.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	27	$233.00	$80.25
81002 Urinalysis, manual test	36	31	$8.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$404.00	$185.71
G0102 Prostate cancer screening; digital rectal examination	32	32	$50.00	$24.81
J1030 Injection, methylprednisolone acetate, 40 mg	30	26	$9.00	$6.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$267.00	$123.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	17	$337.00	$114.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$134.00	$61.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$392.00	$187.24
99496 Transitional care management services for problem of high complexity	17	14	$587.00	$263.55
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$49.00	$19.73
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$44.00	$18.65
99239 Hospital discharge day management, more than 30 minutes	11	11	$347.00	$119.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	244	$263.00	$120.54
99213 Established patient office or other outpatient visit, typically 15 minutes	318	201	$178.00	$82.08
36415 Insertion of needle into vein for collection of blood sample	124	116	$17.00	$2.94
G0008 Administration of influenza virus vaccine	115	113	$57.00	$29.60
90662 Influenza vaccine split virus, preservative free	110	108	$70.00	$47.83
G0009 Administration of pneumococcal vaccine	97	97	$57.00	$29.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	46	$232.19	$151.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$282.00	$130.96
90670 Pneumococcal vaccine for injection into muscle	58	58	$308.00	$186.44
93000 Routine ekg using at least 12 leads including interpretation and report	55	49	$49.00	$19.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	49	49	$420.00	$192.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$148.00	$95.26
G0102 Prostate cancer screening; digital rectal examination	34	34	$50.00	$23.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$267.00	$122.77
81002 Urinalysis, manual test	28	24	$8.00	$3.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	17	$63.00	$29.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$392.00	$186.12
99239 Hospital discharge day management, more than 30 minutes	21	21	$282.24	$156.77
J1030 Injection, methylprednisolone acetate, 40 mg	18	14	$9.00	$5.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$134.00	$61.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$176.43	$102.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$465.69	$304.80
99496 Transitional care management services for problem of high complexity	12	11	$587.00	$260.99
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$49.00	$19.64
99220 Hospital observation care, typically 70 minutes	11	11	$490.64	$274.94

Medical Specialties & State Licenses

CMS Verified: 2020-10-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101037830

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0084773000 (WV)

Medicaid State Provider ID

006013198 (VA)

Commercial Insurance / Payer ID Black Lung

017933000

Commercial Insurance / Payer ID Aetna

4660972

Commercial Insurance / Payer ID Anthem Bcbs

030090

Hospital & Practice Group Affiliations

Inova Physician Partners Llc

3914 Centreville Rd, Chantilly, VA 201513290

Phone: 7034351223

Inova Health Care Services

6230 Rolling Rd, Springfield, VA 221522307

Phone: 5715656460

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dharika Bhavsar , FNP-C

Nurse Practitioner - Family

NPI 1518405802

Family Nurse Practitioner (Certified)

Christina Rosenberg , APN

Nurse Practitioner - Family

NPI 1538409305

Advanced Practice Nurse

Dr. Hakima Bouhouch , MD

Family Medicine

NPI 1710153440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 01, 2012

Registered at 3914 CENTREVILLE RD, SUITE 250, CHANTILLY, VA 201513289 (Tel: 7034351223)

📍

Updated Business Mailing Address November 01, 2012

Registered at 3914 CENTREVILLE RD, SUITE 250, CHANTILLY, VA 201513289 (Tel: 7034351223)

👤

Provider Name / Credentials Updated November 01, 2012

Recorded as TUSHAR PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2012

Internal Medicine (License #0101037830 in VA)

🟢

Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174636716

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 17, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3914 Centreville Rd, Suite 250

Chantilly, VA 201513289

Phone: 7034351223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.