DR. ANKUR DILIP PATEL M.D.
NPI 1255697686
Orthopaedic Surgery in Los Angeles, CA
NPI Status: Active since April 10, 2012
Contact Information
1450 SAN PABLO ST STE 2000
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-5860
- Individual
- Male
- Years of Experience 14
- Orthopaedic Surgery
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ANKUR PATEL
This page provides the complete NPI Profile along with additional information for Ankur Patel, a provider established in Los Angeles, California with a medical specialization in Orthopaedic Surgery and more than 14 years of experience. He graduated from University Of California, San Diego School Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1255697686 assigned on April 2012. The practitioner's primary taxonomy code is 207X00000X with license number A130850 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1255697686
- Provider Name
- DR. ANKUR DILIP PATEL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033
- Location Phone
- (323) 442-5860
- Mailing Address
- PO BOX 31309 LOS ANGELES, CA 90031
- Mailing Phone
- (323) 442-5860
- Medical School Name
- UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
- Graduation Year
- 2012
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-10-2012
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A130850
- License State
- CA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Medicare Participation & PECOS Enrollment Status
Ankur Patel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Ankur Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4486923331
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20170707002663
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE000N)
Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)
4 DME suppliers used 17 Medicare Claims 17 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from large joint
Biopsy of hip joint
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Established patient office or other outpatient visit, 40-54 minutes
Hip replacement
Incision of back portion of knee joint capsule
Incision of connective tissue of hip or thigh
Initial hospital inpatient care per day, typically 70 minutes
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
New patient office or other outpatient visit, 60-74 minutes
Removal of cyst of back of knee
Removal of cyst or growth of lower leg bone with self bone graft
Removal of cyst or growth of thigh bone with self bone graft
Removal of fluid-filled sac (bursa) or calcium deposit of pelvis
Removal of growth of soft tissue of pelvis and hip, less than 5.0 cm
Removal of hip joint lining
Repair of hamstring tendon
Repair of hip joint capsule
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
X-ray of both knees while standing
X-ray of both knees while standing
X-ray of hip, 2-3 views
X-ray of hip, 2-3 views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 47 times for 36 patientsThis procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 32 times for 25 patientsA biopsy of the hip joint involves taking a small sample of tissue from the hip area for testing. This procedure helps diagnose conditions such as infections or diseases. It's performed under anesthesia, and a thin needle is used to extract the tissue sample.
This service was performed 11 times for 11 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 64 times for 53 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 42 times for 33 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 72 times for 53 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 43 times for 36 patientsA hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
This service was performed for 26 patientsThis procedure involves making a small cut in the back part of the knee joint capsule. It's done to relieve pain or pressure, or to access the joint for further treatment. It's a common surgical procedure performed under anesthesia.
This service was performed 21 times for 20 patientsThis procedure involves making a surgical cut into the connective tissue around the hip or thigh. It's typically done to relieve pressure, treat an injury, or improve joint function. You may experience some discomfort post-procedure, but pain management will be provided.
This service was performed 19 times for 19 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 31 times for 31 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 35 times for 24 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 74 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 1-10 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 25 times for 25 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 15 times for 15 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 33 times for 33 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 13 times for 13 patientsThis is a procedure where a small growth filled with fluid, known as a cyst, is removed from the back of your knee. It's typically done under local anesthesia. The surgeon makes a small incision, drains the cyst, and then removes it. This can relieve discomfort and prevent complications.
This service was performed 18 times for 18 patientsThis procedure involves removing a cyst or growth from your lower leg bone. A bone graft, taken from your own body, is used to fill the space left by the cyst. This promotes healing and helps restore normal bone structure.
This service was performed 24 times for 22 patientsThis procedure involves removing a cyst or growth from your thigh bone. A bone graft, taken from another area of your own body, is then used to fill the space left by the removed growth. This encourages new bone growth and helps restore stability and function.
This service was performed 24 times for 22 patientsThis procedure involves the removal of a fluid-filled sac (bursa) or calcium deposit in the pelvis area. It's done to alleviate discomfort and improve mobility. The surgeon makes a small incision, extracts the bursa or deposit, and then closes the incision.
This service was performed 16 times for 16 patientsThis procedure involves the surgical removal of a small growth (less than 5.0 cm) located in the soft tissues of the hip or pelvis area. It's done to prevent potential health issues. Rest assured, it's performed by skilled surgeons ensuring patient safety.
This service was performed 23 times for 22 patientsThe procedure, removal of hip joint lining, involves a surgical process to eliminate the inflamed or damaged lining of your hip joint. This is typically done to alleviate pain and increase mobility. It's performed under anesthesia and recovery time varies.
This service was performed 15 times for 14 patientsRepair of the hamstring tendon is a surgical procedure to mend a torn or damaged hamstring tendon. The surgeon makes an incision, locates the damaged tendon, and stitches it back together. This helps restore function and mobility to the leg.
This service was performed 15 times for 15 patientsRepair of the hip joint capsule is a surgical procedure aimed at fixing damage to the protective layer around your hip joint. This can help restore mobility, reduce pain, and improve your overall quality of life.
This service was performed 12 times for 11 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 22 times for 21 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 13 times for 12 patientsAn X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
This service was performed 55 times for 50 patientsAn X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
This service was performed 31 times for 27 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 26 times for 23 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 16 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.09 for a new patient copayment and $19.49 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 90033 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.36
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $24.09
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 6 | 9 | 7 | 6 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 9 | 14 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 9 + 1 + 4 + 6 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1255697686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073705034 | DR. CHRISTOPHER ALEXANDER CAMPBELL M.D. Individual | Plastic Surgery | 1450 SAN PABLO ST STE 2000 UNIVERSITY OF SOUTHERN CALIFORNIA PLASTIC SURGERY LOS ANGELES, CA 90033 (323) 442-6457 |
| 1134110091 | VINCENT ANTHONY DELEO MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1003381971 | ARA KO Individual | Physician Assistant | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-5908 |
| 1013146307 | NADA M ELBULUK MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1083812770 | BINH TO NGO M.D. Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1144208182 | DR. GENE HO KIM MD Individual | Dermatology (Dermatopathology) | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1215961735 | STEFANI REIKO TAKAHASHI M.D. Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1275566788 | MELVIN WEIWEN CHIU MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1558513101 | DR. JENNY CHONG HU M.D. Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1619901121 | DR. MARIA TERESA OCHOA M.D. Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1871695551 | DAVID T WOODLEY MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1871733329 | DR. SCOTT DRAYTON WORSWICK MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1891881421 | DAVID H PENG MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1942536834 | DR. ASHLEY BROOKE CREW M.D. Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
| 1992199251 | BRANDON LAWRENCE ADLER MD Individual | Dermatology | 1450 SAN PABLO ST STE 2000 LOS ANGELES, CA 90033 (323) 442-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255697686, enumerated in the NPI registry as an "individual" on April 10, 2012
The provider is located at 1450 San Pablo St Ste 2000 Los Angeles, Ca 90033 and the phone number is (323) 442-5860
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider has more than 14 years of experience. He graduated from University Of California, San Diego School Of Medicine in 2012.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid from large joint, Biopsy of hip joint, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Established patient office or other outpatient visit, 40-54 minutes, Hip replacement, Incision of back portion of knee joint capsule, Incision of connective tissue of hip or thigh, Initial hospital inpatient care per day, typically 70 minutes, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), Melanoma (skin cancer) excision, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, New patient office or other outpatient visit, 60-74 minutes, Removal of cyst of back of knee, Removal of cyst or growth of lower leg bone with self bone graft, Removal of cyst or growth of thigh bone with self bone graft, Removal of fluid-filled sac (bursa) or calcium deposit of pelvis, Removal of growth of soft tissue of pelvis and hip, less than 5.0 cm, Removal of hip joint lining, Repair of hamstring tendon, Repair of hip joint capsule, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, X-ray of both knees while standing, X-ray of both knees while standing, X-ray of hip, 2-3 views and X-ray of hip, 2-3 views.
This NPI record was last updated on April 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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