DR. ROMIL Y PATEL M.D.
NPI 1164728820
Radiology - Diagnostic Radiology in Fargo, ND

Active since January 28, 2011PECOS EnrolledAccepts Medicare Assignment
96.88/100
CMS Quality Rating
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, May 26, 2023, Feb 24, 2016 (3 updates tracked since 2016).

About Dr. Romil Y Patel M.d. NPPES

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

DR. ROMIL Y PATEL M.D. (NPI 1164728820) is an individual diagnostic radiology provider in Fargo, North Dakota, licensed in New Hampshire (23922) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and maintains a secondary practice location in Bedford.

NPPES Registry Identity

NPI1164728820
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ROMIL Y PATELCredential: M.D.
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 28, 2011
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1164728820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NH · 23922✔ Licensed in FL · ME110292✔ Licensed in ND · 23965
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal Medicine · Magnetic Resonance Imaging (MRI)Taxonomy 207RM1200X · License ME110292 (FL)
5225 23RD AVE S, Fargo, ND 58104

Secondary Practice Location 1

Location 1703 Riverway Pl Ste 115Bedford, NH 03110-6745 · Phone (603) 627-1661 · Fax (603) 669-6944

Other Identifiers 3

OtherP00986163FL · Rr Medicare Racf
OtherP00986172FL · Rr Medicare Lmiv
Medicaid003874300FL

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

Dr. Romil Y 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 ID5294903886
PECOS Enrollment IDI20110726000809, I20240222000245, I20260423002333
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

12

Medicare enrollment records show Romil Patel reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
Diagnostic Radiology
330 E ALGONQUIN RD
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
Diagnostic Radiology
530 NE GLEN OAK AVENUE
Peoria, IL 61637
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
Diagnostic Radiology
3264 N EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
Diagnostic Radiology
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
Hematology & Oncology
3100 PLAZA PROPERTIES BLVD
Columbus, OH 43219
  • Reassigned Medicare billing, Texas enrollment
  • 75 clinicians in this Medicare group
Diagnostic Radiology
6065 MONTANA AVE, BLDG A STE 6
El Paso, TX 79925
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 2 clinicians in this Medicare group
Diagnostic Radiology
1346 CAMPBELL RD
Houston, TX 77055
  • Reassigned Medicare billing, Texas enrollment
  • 169 clinicians in this Medicare group
Hematology & Oncology
925 GESSNER RD STE 600
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 58 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 73

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
481 services470 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
413 services379 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
280 services14 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
251 services248 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
184 services180 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
182 services180 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

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.

96.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92
Improvement Activities40

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%234 patients
Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%39 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,450 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%102 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%98 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104

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 Romil Patel's NPI number?

The NPI number for Romil Patel is 1164728820. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Romil Patel located?

Romil Patel practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is Romil Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Romil Patel enrolled in Medicare?

Yes. Romil 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 Romil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Romil Patel reassigns Medicare benefits to 12 organizations: Sanford Medical Center Fargo (West Fargo, ND), Bright Light Medical Imaging, Sc (Arlington Heights, IL), Osf Multi-Specialty Group (Peoria, IL), Central Illinois Radiological Associates, Ltd. (Peoria, IL), Advanced Radiology Services PC (Grand Rapids, MI) and 7 more organizations, listed in the Medicare section above. 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 Romil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Romil Patel accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from NH Healthy Families and Ambetter from Superior HealthPlan and 6 other insurers list Romil 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 Romil Patel affiliated with any hospitals?

According to CMS data, Romil Patel is affiliated with Ascension Macomb Oakland Hosp-Warren Campus, Elliot Hospital, Southern Nh Medical Center, Speare Memorial Hospital and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Romil Patel was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.