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MITESHKUMAR PATEL
NPI 1003255910
Family Medicine in San Francisco, CA

Active since June 25, 2013PECOS Enrolled
97.22/100
CMS Quality Rating
121 DIVISADERO ST, SAN FRANCISCO, CA 94117(404) 545-3885 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Oct 28, 2019 (2 updates tracked since 2019).

About Miteshkumar Patel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITESHKUMAR PATEL (NPI 1003255910) is an individual family medicine provider in San Francisco, California, licensed in Georgia (006617) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003255910
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMITESHKUMAR PATEL
Location Address121 DIVISADERO STSan Francisco, CA 94117-3212
Mailing Address121 Divisadero StSan Francisco, CA 94117-3212
Phone(404) 545-3885
Sole ProprietorNo
Enumeration DateJune 25, 2013
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1003255910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 006617✔ Licensed in FL · ME165515
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 006617 (GA), ME165515 (FL)
121 DIVISADERO ST, San Francisco, CA 94117
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-3052
Location 2395 Oyster Point Blvd Ste 512South San Francisco, CA 94080-1973 · Phone (650) 826-2945

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miteshkumar Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Miteshkumar Patel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pacific Inpatient Medical Group
1.4 mi
Internal Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1447447248 (415) 531-9047
Clarkian Hospitalist Corporation
6.5 mi
Hospitalist
1900 SULLIVAN AVE
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1780353227 (000) 000-0000
Nes Western Group, A Professional Corporation
21 mi
Emergency Medicine
27200 CALAROGA AVE
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • 160 clinicians in this Medicare group
NPI 1588249569 (510) 264-4000
Quantum Healthcare Medical Associates Inc.
382 mi
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 clinicians in this Medicare group
NPI 1568490597 (909) 580-1000
Hni Hospital Services Of Florida, LLC
2,162 mi
Critical Care Medicine
615 N BONITA AVE
Panama City, FL 32401
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
NPI 1144851411 (440) 572-5000
Au Medical Associates Inc
2,278 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Hni Medical Services Of Florida, LLC
2,375 mi
Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
NPI 1679048284 (512) 730-3060
Inpatient Consultants Of Florida, Inc
2,376 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909
Miteshkumar Patel M.D., Core Continuity Of Care Inc.
2,397 mi
Family Medicine
33 WINDMILL PALM TRL
Ponte Vedra Beach, FL 32081
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Miteshkumar Patel MD Core Continuity Of Care Inc
  • 5 clinicians in this Medicare group
NPI 1518529502 (404) 545-3885

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
829 services266 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
162 services133 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
101 services99 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
96 services93 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
84 services81 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
79 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability100
Improvement Activities40
Cost69.53

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%44 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers15 claims15 services$42.20 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers14 claims14 services$43.81 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.89 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers26 claims26 services$45.23 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
3 suppliers16 claims16 services$51.05 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims12 services$36.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miteshkumar Patel's NPI number?

The NPI number for Miteshkumar Patel is 1003255910. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Miteshkumar Patel located?

Miteshkumar Patel practices at 121 Divisadero St, San Francisco, CA 94117. The listed phone number is (404) 545-3885.

What is Miteshkumar Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miteshkumar Patel enrolled in Medicare?

Yes. Miteshkumar Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miteshkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miteshkumar Patel reassigns Medicare benefits to 9 organizations: Pacific Inpatient Medical Group (San Francisco, CA), Clarkian Hospitalist Corporation (Daly City, CA), Nes Western Group, A Professional Corporation (Hayward, CA), Quantum Healthcare Medical Associates Inc. (Colton, CA), Hni Hospital Services Of Florida, LLC (Panama City, FL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miteshkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miteshkumar Patel was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.