NILESH CHIMAN PATEL M.D.
NPI 1043263205
Internal Medicine - Nephrology in Chattanooga, TN

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.27/100
CMS Quality Rating
251 N LYERLY ST, SUITE 100, CHATTANOOGA, TN 37404(423) 826-8000(423) 826-8015 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nilesh Chiman Patel M.d. NPPES

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

NILESH CHIMAN PATEL M.D. (NPI 1043263205) is an individual nephrology provider in Chattanooga, Tennessee, licensed in Tennessee (41036) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of University Of South Alabama College Of Medicine (2001).

NPPES Registry Identity

NPI1043263205
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNILESH CHIMAN PATELCredential: M.D.
Location Address251 N LYERLY ST, SUITE 100Chattanooga, TN 37404-2739
Mailing Address2300 E 3rd St Ste BChattanooga, TN 37404-2700 · (423) 702-7900 · Fax (423) 702-7905
Fax(423) 826-8015
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2001
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 28, 2010
NPI 1043263205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in TN · 41036 Licensed in GA · 057736
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
251 N LYERLY ST, Chattanooga, TN 37404

Other Identifiers 3

Medicare PIN3818237TN
Medicaid3818237TN
Medicare PIN39BDCNDGA

Accepted 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

Nilesh Chiman Patel M.d. 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 ID547264798
PECOS Enrollment IDI20060927000416
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 42

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.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
934 services121 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
851 services111 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
783 services110 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.
580 services189 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
575 services420 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
565 services412 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.21
Improvement Activities40

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.

Internal Medicine (Nephrology)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Internal Medicine (Nephrology)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Internal Medicine (Nephrology)
251 N LYERLY ST, STE 100
CHATTANOOGA, TN 37404
Internal Medicine (Nephrology)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Nurse Practitioner
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Advanced Practice Midwife
251 N LYERLY ST, SUITE 300
CHATTANOOGA, TN 37404

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 Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1043263205. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Nilesh Patel located?

Nilesh Patel practices at 251 N Lyerly St Suite 100, Chattanooga, TN 37404. The listed phone number is (423) 826-8000.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nilesh Patel enrolled in Medicare?

Yes. Nilesh 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 Nilesh Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Nilesh 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 Nilesh Patel affiliated with any hospitals?

According to CMS data, Nilesh Patel is affiliated with Memorial Healthcare System, Inc, Erlanger Medical Center and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.