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DR. NITINKUMAR J PATEL M.D.
NPI 1104147602
Otolaryngology in Washington, DC

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
2300 I STREET NW, WASHINGTON, DC 20037(540) 446-6447 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2022, Nov 23, 2021 (2 updates tracked since 2021).

About Dr. Nitinkumar J Patel M.d. NPPES

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

DR. NITINKUMAR J PATEL M.D. (NPI 1104147602) is an individual otolaryngology provider in Washington, District Of Columbia, licensed in Virginia (0101258520) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1104147602
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. NITINKUMAR J PATELCredential: M.D.
Location Address2300 I STREET NWWashington, DC 20037
Mailing Address8008 Westpark DrMc Lean, VA 22102-3109
Phone(540) 446-6447
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2009
Enumeration DateJune 18, 2010
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1104147602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101258520
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2300 I STREET NW, Washington, DC 20037
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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

Dr. Nitinkumar J 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 ID1759697956
PECOS Enrollment IDI20150902002891, I20200417001035, I20240604002621
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 Reassignments

2

Medicare enrollment records show Nitinkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
2.5 mi
Health Maintenance Organization
700 2ND ST NE
Washington, DC 20002
NPI 1093016933 (202) 898-5100
Inova Health Care Services
10 mi
Substance Abuse Rehabilitation Facility
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 2,379 clinicians in this Medicare group
NPI 1588717755 (703) 776-7777

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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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

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

DR. CHRISTOPHER THOMAS ROSSI M.D
Pathology (Anatomic Pathology)
2300 I STREET NW, 502 ROSS HALL
WASHINGTON, DC 20037
District of Columbia (202) 994-3391

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 Nitinkumar Patel's NPI number?

The NPI number for Nitinkumar Patel is 1104147602. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Nitinkumar Patel located?

Nitinkumar Patel practices at 2300 I Street NW, Washington, DC 20037. The listed phone number is (540) 446-6447.

What is Nitinkumar Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nitinkumar Patel enrolled in Medicare?

Yes. Nitinkumar 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 organizations bill Medicare for Nitinkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nitinkumar Patel reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Washington, DC) and Inova Health Care Services (Falls Church, VA). Each 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 Nitinkumar 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 Nitinkumar Patel was last updated on April 19, 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.