DR. NIKUNJ PATEL MD
NPI 1083348528
Family Medicine in Norton, VA

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
295 WHARTON LN NE, NORTON, VA 24273(276) 679-0321 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nikunj Patel Md NPPES

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

DR. NIKUNJ PATEL MD (NPI 1083348528) is an individual family medicine provider in Norton, Virginia, licensed in Virginia (0116037250) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083348528
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIKUNJ PATELCredential: MD
Location Address295 WHARTON LN NENorton, VA 24273-1541
Mailing Address295 Wharton Ln NeNorton, VA 24273-1541
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
NPI 1083348528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0116037250
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
295 WHARTON LN NE, Norton, VA 24273

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. Nikunj 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.

PECOS PAC ID4587154299
PECOS Enrollment IDI20251110002435
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.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24273 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 11

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

Otolaryngology
295 WHARTON LN NE
NORTON, VA 24273
Physical Therapy Assistant
295 WHARTON LN NE
NORTON, VA 24273
Nurse Practitioner (Family)
295 WHARTON LN NE
NORTON, VA 24273
Family Medicine
295 WHARTON LN NE
NORTON, VA 24273
Family Medicine
295 WHARTON LN NE
NORTON, VA 24273
Social Worker (Clinical)
295 WHARTON LN NE
NORTON, VA 24273
Physical Therapist
295 WHARTON LN NE
NORTON, VA 24273
Physical Therapist
295 WHARTON LN NE
NORTON, VA 24273

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 Nikunj Patel's NPI number?

The NPI number for Nikunj Patel is 1083348528. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Nikunj Patel located?

Nikunj Patel practices at 295 Wharton Ln NE, Norton, VA 24273. The listed phone number is (276) 679-0321.

What is Nikunj Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nikunj Patel enrolled in Medicare?

Yes. Nikunj 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.

Is Nikunj Patel affiliated with any hospitals?

According to CMS data, Nikunj Patel is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Nikunj Patel was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.