DR. NILESH V PATEL M.D.
NPI 1053397562
Internal Medicine - Pulmonary Disease in Salisbury, NC

Q: What is Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1053397562. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Q: What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment

1809 BRENNER AVE STE 202, SALISBURY, NC 28144(704) 216-7040(704) 647-0515 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2025, Dec 31, 2024, Mar 18, 2020 and 3 more (6 updates tracked since 2017).

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About Dr. Nilesh V Patel M.d. NPPES

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

DR. NILESH V PATEL M.D. (NPI 1053397562) is an individual pulmonary disease provider in Salisbury, North Carolina, licensed in North Carolina (9800355) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053397562

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. NILESH V PATELCredential: M.D.

Location Address1809 BRENNER AVE STE 202Salisbury, NC 28144-2567

Mailing Address611 Mocksville AveSalisbury, NC 28144-2705 · (704) 633-7220 · Fax (704) 647-0515

Phone(704) 216-7040

Fax(704) 647-0515

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1992

Enumeration DateDecember 16, 2005

Last NPPES UpdateMay 21, 20256 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1053397562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NC · 9800355

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9800355 (NC)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 9800355 (NC)

1809 BRENNER AVE STE 202, Salisbury, NC 28144

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Secondary Practice Locations 3

Location 1612 Mocksville AveSalisbury, NC 28144-2732 · Phone (704) 633-7220 · Fax (704) 647-0515

Location 21969 Wellness BlvdMonroe, NC 28110-7763 · Phone (704) 316-5775 · Fax (704) 316-5815

Location 3611 Mocksville AveSalisbury, NC 28144-2705 · Phone (704) 633-7220 · Fax (704) 647-0515

Other Identifiers 1

Medicaid891128MNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Dr. Nilesh V 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 ID7719875335

PECOS Enrollment IDI20051025001111

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 19

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.

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.

655 services325 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.

221 services71 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.

144 services66 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.

125 services65 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.

79 services74 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

72 services72 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

69 services69 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

67 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services62 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.

48 services40 patients

Test to determine lung volumes using sensors 94726

44 services43 patients

Test to examine how well the lungs exchange gases 94729

44 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

37 services36 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

19 services15 patients

Smoking and tobacco use intensive counseling, more than 10 minutes 99407

This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.

19 services17 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

19 services18 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

15 services14 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340015

Location612 Mocksville AveSalisbury, NC 28144 · Rowan County

Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340158

Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers37 claims76 services$1.21 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers20 claims20 services$11.22 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers67 claims67 services$14.10 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers21 claims21 services$915.58 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier30 claims30 services$2.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers177 claims178 services$71.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES

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

ROWAN DIAGNOSTIC CLINIC, PA

Internal Medicine (Pulmonary Disease)

1809 BRENNER AVE STE 202
SALISBURY, NC 28144

Rowan County (704) 633-7220

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 1053397562. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Nilesh Patel located?

Nilesh Patel practices at 1809 Brenner Ave Ste 202, Salisbury, NC 28144. The listed phone number is (704) 216-7040.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer 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 Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center and Novant Health Brunswick Medical Center.

When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.