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DR. NIRAL PRIYADARSHI PATEL MD
NPI 1083239297
General Practice in Saint Louis, MO

Active since June 12, 2020PECOS Enrolled
79.29/100
CMS Quality Rating
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241, SAINT LOUIS, MO 63108(314) 362-5060(314) 362-6959 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Apr 25, 2024, Apr 10, 2024 and 4 more (7 updates tracked since 2020).

About Dr. Niral Priyadarshi Patel Md NPPES

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

DR. NIRAL PRIYADARSHI PATEL MD (NPI 1083239297) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2023004904) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1083239297
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. NIRAL PRIYADARSHI PATELCredential: MD
Location Address4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241Saint Louis, MO 63108-1495
Mailing AddressPo Box 60352Saint Louis, MO 63160-0352 · (314) 362-5060 · Fax (314) 362-6959
Phone(314) 362-5060
Fax(314) 362-6959
Sole ProprietorNo
Enumeration DateJune 12, 2020
Last NPPES UpdateNovember 25, 20257 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1083239297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2023004904
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License 2023004904 (MO)
Also ListedHospitalistTaxonomy 208M00000X · License 2023004904 (MO)
4901 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Other Identifiers 1

Medicaid200084972MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Niral Priyadarshi Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Niral Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University
0.4 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 1,133 clinicians in this Medicare group
NPI 1992746903 (314) 747-5192

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 3

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.

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.
63 services15 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.
42 services40 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.
35 services11 patients

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

DR. ERIN LEIGH DYER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
DR. NICHOLE GALLEGOS ZEHNDER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
MRS. NANCY J CIBULKA WHNP
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882
DR. MARCIA J MCCABE PSYD
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JING-WEI HUANG MD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. DAVID L EISENBERG MD
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108
St. Louis City (314) 362-4211
NICHOLAS RICHARD LEVERGOOD MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937

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 Niral Patel's NPI number?

The NPI number for Niral Patel is 1083239297. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Niral Patel located?

Niral Patel practices at 4901 Forest Park Ave Div Im General Med, Ste 241, Saint Louis, MO 63108. The listed phone number is (314) 362-5060.

What is Niral Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Niral Patel enrolled in Medicare?

Yes. Niral Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Niral Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niral Patel reassigns Medicare benefits to Washington University (Saint Louis, MO). 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 Niral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Niral Patel was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.