NIRALEE PATEL
NPI 1053721654
Internal Medicine - Nephrology in Cincinnati, OH
About Niralee Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIRALEE PATEL (NPI 1053721654) is an individual nephrology provider in Cincinnati, Ohio, licensed in Ohio (35138970) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Niralee Patel 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 Reassignment
Medicare enrollment records show Niralee Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 2,038 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 6
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Cincinnati Medical Center, LLC
Acute Care Hospitals · Cincinnati, OHWest Chester Hospital
Acute Care Hospitals · West Chester, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CINCINNATI, OH 45219
CINCINNATI, OH 45219
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 Niralee Patel's NPI number?
The NPI number for Niralee Patel is 1053721654. It was assigned to this individual provider in the NPPES registry on May 5, 2014.
Where is Niralee Patel located?
Niralee Patel practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 584-1000.
What is Niralee Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Niralee Patel enrolled in Medicare?
Yes. Niralee 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 organization bills Medicare for Niralee Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niralee Patel reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). The 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 Niralee Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niralee Patel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Niralee 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 Niralee Patel affiliated with any hospitals?
According to CMS data, Niralee Patel is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.
When was this NPI record last updated?
The NPPES record for Niralee Patel was last updated on May 5, 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.
# Niralee Patel · NPI 1053721654
Nephrology physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since May 5, 2014.
## Identity
- **NPI:** 1053721654 (Entity type: Individual)
- **Enumerated:** May 5, 2014
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 35138970 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 234 GOODMAN ST, Cincinnati, OH 45219-2364
- **Phone:** (513) 584-1000 · **Fax:** (513) 558-4309
## 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:** University Of Cincinnati Physicians Company, LLC (NPI 1801840434, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053721654) · Data from the CMS NPPES public registry.