MITULKUMAR P PATEL M.D.
NPI 1093701674
Internal Medicine in Las Vegas, NV

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
4880 WYNN RD, LAS VEGAS, NV 89103(702) 871-5005(702) 671-6883 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitulkumar P Patel M.d. NPPES

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

MITULKUMAR P PATEL M.D. (NPI 1093701674) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (10855) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1990).

NPPES Registry Identity

NPI1093701674
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMITULKUMAR P PATELCredential: M.D.
Location Address4880 WYNN RDLas Vegas, NV 89103-5406
Mailing AddressPo Box 1737Las Vegas, NV 89125-1737 · (702) 671-6809 · Fax (702) 671-6883
Fax(702) 671-6883
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1990
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1093701674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NV · 10855 Licensed in CA · G74858
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4880 WYNN RD, Las Vegas, NV 89103

Other Identifiers 3

Medicaid100507193NV
OtherCS12512NV · Pharmacy/controlled Substance Certificate
Other10855NV · Medical License

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

Mitulkumar P 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 ID2961480264
PECOS Enrollment IDI20040713000292
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 20

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

Physician Assistant
4880 WYNN RD
LAS VEGAS, NV 89103
Physician Assistant
4880 WYNN RD
LAS VEGAS, NV 89103
Physician Assistant (Medical)
4880 WYNN RD
LAS VEGAS, NV 89103
Clinic/Center (Radiology)
4880 WYNN RD
LAS VEGAS, NV 89103
Dietitian, Registered (Nutrition, Metabolic)
4880 WYNN RD
LAS VEGAS, NV 89103
Internal Medicine
4880 WYNN RD
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
4880 WYNN RD
LAS VEGAS, NV 89103
Physician Assistant
4880 WYNN RD
LAS VEGAS, NV 89103

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 Mitulkumar Patel's NPI number?

The NPI number for Mitulkumar Patel is 1093701674. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Mitulkumar Patel located?

Mitulkumar Patel practices at 4880 Wynn Rd, Las Vegas, NV 89103. The listed phone number is (702) 871-5005.

What is Mitulkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mitulkumar Patel enrolled in Medicare?

Yes. Mitulkumar 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.

When was this NPI record last updated?

The NPPES record for Mitulkumar Patel was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.