MILANI RAMANBHAI PATEL MD
NPI 1366739120
Pediatrics in Durham, NC
NPI Status: Active since June 30, 2011
Contact Information
1301 FAYETTEVILLE ST
DURHAM, NC
ZIP 27707
Phone: (919) 956-4000
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About MILANI PATEL
This page provides the complete NPI Profile along with additional information for Milani Patel, a pediatrician established in Durham, North Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1366739120 assigned on June 2011. The practitioner's primary taxonomy code is 208000000X with license number 2017-02127 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1366739120
- Provider Name
- MILANI RAMANBHAI PATEL MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1301 FAYETTEVILLE ST DURHAM, NC 27707
- Location Phone
- (919) 956-4000
- Mailing Address
- 305 E 161ST ST BRONX, NY 10451
- Mailing Phone
- (718) 579-2500
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2011
- Last Update Date
- 02-21-2023
- Code Navigator
A pediatrician like Milani Patel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2017-02127
- License State
- NC
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Milani 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
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
Physician Visit Costs
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 27707 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* 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 | 3 | 6 | 6 | 7 | 3 | 9 | 1 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 14 | 3 | 18 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 4 + 3 + 1 + 8 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1366739120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104873447 | NEYSA S HEYWARD M.D. Individual | Pediatrics | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1902843824 | DR. ANJANA N ACHARYA M.D. Individual | Internal Medicine | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1275570673 | OVETA B MCINTOSH-VICK M.D. Individual | Pediatrics | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1619915600 | DR. BETTY M MASTEN M.D. Individual | Pediatrics | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1780626705 | KATHERINE W TURLINGTON M.D. Individual | Pediatrics | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1104869650 | ERICA C FRIEDMAN PAC Individual | Physician Assistant | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1245273432 | DR. BYRON R RANDOLPH M.D. Individual | Internal Medicine | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1174550552 | DR. PETER DE GREEFF JACOBI M.D. Individual | Family Medicine | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1992895809 | PATRICIA ALSTON TAPP Individual | Nutritionist (Nutrition, Education) | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4044 |
| 1952481434 | CARRRIE E THOMPSON RD Individual | Dietitian, Registered | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4050 |
| 1245310812 | KIM A. JOHNSON R.D., L.D.N. Individual | Dietitian, Registered | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1306926886 | MRS. NIDHI SINGLA NUTRITIONIST Individual | Nutritionist | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4045 |
| 1326129917 | MRS. YOMAIRA MIRANDA-LEON NUTRITIONIST Individual | Nutritionist | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4585 |
| 1184706897 | MRS. ALMA HARRIS DANIEL Individual | Nutritionist (Nutrition, Education) | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4000 |
| 1942382684 | MRS. ANNETTE LEWIS JOHNSON Individual | Nutritionist (Nutrition, Education) | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4046 |
| 1801944103 | DR. NDIBULUM HAZEL RICHARDSON PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1301 FAYETTEVILLE ST PHARMACY DEPARTMENT DURHAM, NC 27707 (919) 956-4160 |
| 1962546135 | MS. SHARON RUTH HOLLANDSWORTH LCSW Individual | Social Worker (Clinical) | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4060 |
| 1396875274 | ANA ELIDA JOHNSON LCSW Individual | Social Worker (Clinical) | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4062 |
| 1487878468 | KAREN ANTIONETTE PAYNE Individual | Technician | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-3811 |
| 1558585547 | AARON H STOERTZ Individual | Case Manager/Care Coordinator | 1301 FAYETTEVILLE ST DURHAM, NC 27707 (919) 956-4073 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366739120, enumerated in the NPI registry as an "individual" on June 30, 2011
The provider is located at 1301 Fayetteville St Durham, Nc 27707 and the phone number is (919) 956-4000
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 30, 2011. 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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