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DR. NIMISH G PATEL D.O.
NPI 1184901001
Internal Medicine in Danville, CA

Active since November 06, 2011PECOS EnrolledAccepts Medicare Assignment
303 PINE PL, DANVILLE, CA 94506(650) 935-4173 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Mar 6, 2024, Oct 30, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Nimish G Patel D.o. NPPES

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

DR. NIMISH G PATEL D.O. (NPI 1184901001) is an individual internal medicine provider in Danville, California, licensed in California (18257) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1184901001
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIMISH G PATELCredential: D.O.
Location Address303 PINE PLDanville, CA 94506-4416
Mailing Address4121 Mckinney Ave Apt 40Dallas, TX 75204-8208
Phone(650) 935-4173
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateNovember 6, 2011
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1184901001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · 18257✔ Licensed in KY · 03776
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.
Also ListedHospitalistTaxonomy 208M00000X · License 18257 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
303 PINE PL, Danville, CA 94506
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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. Nimish G Patel D.o. 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 ID6901124478
PECOS Enrollment IDI20220601002481
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

4

Medicare enrollment records show Nimish Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physician Inc.
6.7 mi
Internal Medicine
3901 LONE TREE WAY
Antioch, CA 94509
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Galen Inpatient Physicians PC
  • 962 clinicians in this Medicare group
NPI 1083658223 (925) 779-7200
Hospitalists Of Modesto Medical Group Inc
43 mi
Internal Medicine
1441 FLORIDA AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 176 clinicians in this Medicare group
NPI 1821190711 (209) 576-3525
Quantum Bay Area Hospitalist Medical Group Inc
44 mi
Hospitalist
2500 GRANT RD
Mountain View, CA 94040
  • Reassigned Medicare billing, California enrollment
  • 217 clinicians in this Medicare group
NPI 1902279656 (650) 940-7000
Providence Saint Johns Medical Foundation
324 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312

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 7

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 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.
198 services83 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
32 services24 patients
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.
29 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94506 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers21 claims21 services$917.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ASHISH PATEL MD INC
Internal Medicine
303 PINE PL
DANVILLE, CA 94506
Contra Costa County (310) 692-0557
FOLLO HEALTH MEDICAL CORPORATION
Internal Medicine
303 PINE PL
DANVILLE, CA 94506
Contra Costa County (502) 644-1000

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 Nimish Patel's NPI number?

The NPI number for Nimish Patel is 1184901001. It was assigned to this individual provider in the NPPES registry on November 6, 2011.

Where is Nimish Patel located?

Nimish Patel practices at 303 Pine Pl, Danville, CA 94506. The listed phone number is (650) 935-4173.

What is Nimish Patel's specialty?

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

Is Nimish Patel enrolled in Medicare?

Yes. Nimish 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 Nimish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nimish Patel reassigns Medicare benefits to 4 organizations: Galen Inpatient Physician Inc. (Antioch, CA), Hospitalists Of Modesto Medical Group Inc (Modesto, CA), Quantum Bay Area Hospitalist Medical Group Inc (Mountain View, CA) and Providence Saint Johns Medical Foundation (Santa Monica, CA). 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 Nimish 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 Nimish Patel was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.