NILAY K PATEL MD
NPI 1013279454
Internal Medicine in Boston, MA

Q: What is Nilay Patel's NPI number?

The NPI number for Nilay Patel is 1013279454. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Q: What is Nilay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nilay Patel was last updated on February 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114(617) 726-2865 Get Directions Write a Review

NPPES record last updated: February 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nilay K Patel Md NPPES

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

NILAY K PATEL MD (NPI 1013279454) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (L-251841) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Warren Alpert Medical School Of Brown University (2012).

NPPES Registry Identity

NPI1013279454

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNILAY K PATELCredential: MD

Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.Boston, MA 02114

Mailing AddressMassachusetts General Hospital, 55 Fruit St.Boston, MA 02114 · (617) 726-2865

Phone(617) 726-2865

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2012

Enumeration DateJune 12, 2012

Last NPPES UpdateFebruary 22, 2020

✔ NPI 1013279454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · L-251841

Definition

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.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 260830 (MA)

MASSACHUSETTS GENERAL HOSPITAL, Boston, MA 02114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nilay K Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537313838

PECOS Enrollment IDI20170718003311

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.

Areas of Expertise CMS Part B claims 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

298 services223 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

278 services145 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This 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.

207 services167 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

193 services170 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

106 services90 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This 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.

100 services100 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial 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.

100 services96 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

94 services72 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

90 services62 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

89 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

72 services48 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

59 services58 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

52 services50 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

38 services38 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This 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.

33 services33 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

30 services12 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

25 services25 patients

Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch 92933

This procedure involves clearing a blockage in your heart's artery. First, the doctor removes plaque that's clogging the artery. Next, a small tube called a stent is inserted to keep the artery open. Lastly, a balloon is inflated inside the artery to widen it, allowing better blood flow.

19 services17 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

19 services19 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel 93572

This procedure involves using ultrasound to examine additional heart blood vessels during diagnosis or treatment. It helps doctors visualize the structure and function of your heart, ensuring precise evaluation and care.

17 services17 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

15 services14 patients

Placement and subsequent removal of device to protect brain from embolism through catheter using imaging guidance 33370

This procedure involves inserting a device through a catheter to shield the brain from harmful blood clots (embolism). The process is monitored using imaging technology. After serving its purpose, the device is carefully removed through the same pathway.

13 services13 patients

Repair of mitral valve through the skin, initial prosthesis 33418

This procedure, known as Transcatheter Mitral Valve Repair (TMVR), involves a small tube inserted through your skin into a blood vessel. A device is then guided to your heart to repair the mitral valve, using an initial prosthesis. This is a less invasive alternative to open-heart surgery.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN MY-TU LAM MBBS

Internal Medicine (Cardiovascular Disease)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 724-7738

ALAKA RAY M.D.

Internal Medicine

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2066

MEGHAN E SISE M.D.

Internal Medicine (Nephrology)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2862

HUGH G AUCHINCLOSS M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2000

ANGELA M. JACQUES MD

Pediatrics

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 726-2066

NICOLE J LOOK-HONG MD, MSC

Surgery (Surgical Oncology)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 724-3868

CORINNA M ELLIOTT MA

Student in an Organized Health Care Education/Training Program

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 724-5600

KIRAN J AGARWAL-HARDING MD

Orthopaedic Surgery

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 726-2942

ADELINE GOSS MD

Internal Medicine

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 643-0596

KENDRICK M SHAW MD, PHD

Anesthesiology

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 726-3030

JOSHUA M SIEWERT MD,MBA

Internal Medicine

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 643-0596

CRISTINA CUSIN MD

Psychiatry & Neurology (Psychiatry)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2066

PARSIA A VAGEFI MD

Surgery

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2066

ANNE HODGES LIGHT MD

Pediatrics

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2066

DR. HILLARY R. KELLY MD

Radiology (Diagnostic Radiology)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, GRB-273A
BOSTON, MA 02114

Suffolk County (617) 726-8320

GARRETT M CHINN M.D.

Internal Medicine

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2862

RUTH A DELANEY MD

Orthopaedic Surgery

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2800

KELLY E IRWIN M.D.

Psychiatry & Neurology (Psychiatry)

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114

Suffolk County (617) 726-2000

SHIRI B FEINGOLD M.D.

Internal Medicine

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 726-2865

MILENA CLAUDIUS MA

Student in an Organized Health Care Education/Training Program

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

Suffolk County (617) 726-2000

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 Nilay Patel's NPI number?

The NPI number for Nilay Patel is 1013279454. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Nilay Patel located?

Nilay Patel practices at Massachusetts General Hospital 55 Fruit St., Boston, MA 02114. The listed phone number is (617) 726-2865.

What is Nilay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nilay Patel enrolled in Medicare?

Yes. Nilay Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nilay Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Nilay Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nilay Patel affiliated with any hospitals?

According to CMS data, Nilay Patel is affiliated with Northeast Hospital Corporation, Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Nilay Patel was last updated on February 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.