NILAY K PATEL MD
NPI 1013279454
Internal Medicine in Boston, MA
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 North Shore Medical Center -, and is a graduate of Warren Alpert Medical School Of Brown University (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nilay Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore Medical Center -
Acute Care Hospitals · Salem, MAMassachusetts General Hospital
Acute Care Hospitals · Boston, MANewton-Wellesley Hospital
Acute Care Hospitals · Newton, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAWentworth-Douglass Hospital
Acute Care Hospitals · Dover, NHPhysician 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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.
Which organizations bill Medicare for Nilay Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilay Patel reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Nilay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilay Patel accept?
Health plans from Taro Health 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 North Shore Medical Center -, 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.
# Nilay K Patel, MD · NPI 1013279454
Internal Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 12, 2012.
## Identity
- **NPI:** 1013279454 (Entity type: Individual)
- **Enumerated:** June 12, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** L-251841 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., Boston, MA 02114
- **Phone:** (617) 726-2865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The General Hospital Corporation (NPI 1023049236, Boston, MA); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 2012
## Record status
- **NPPES last updated:** February 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1013279454) · Data from the CMS NPPES public registry.