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NIRA K PATEL
NPI 1205132735
Pediatrics in Orlando, FL

Active since February 01, 2011PECOS Enrolled
844 N THORNTON AVE, ORLANDO, FL 32803(407) 398-6470(407) 894-6872 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nira K Patel NPPES

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

NIRA K PATEL (NPI 1205132735) is an individual pediatrics provider in Orlando, Florida, licensed in Florida (ME120073) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205132735
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNIRA K PATEL
Location Address844 N THORNTON AVEOrlando, FL 32803-4003
Mailing Address86 W Underwood St, Suite 202Orlando, FL 32806-1110 · (407) 649-6876 · Fax (407) 872-0544
Phone(407) 398-6470
Fax(407) 894-6872
Sole ProprietorNo
Enumeration DateFebruary 1, 2011
Last NPPES UpdateOctober 20, 2014
✔ NPI 1205132735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME120073
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN16339 (FL)
844 N THORNTON AVE, Orlando, FL 32803
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Other Identifiers 1

Medicaid012752000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nira K Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nira Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrix Medical Group Of Texas Billing, Inc.
863 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 9

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

MARK J SIGMAN MD
Pediatrics
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 398-6470
CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC
Pediatrics (Pediatric Critical Care Medicine)
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 894-8768
PETER K HERVIE M.D.
Pediatrics (Pediatric Critical Care Medicine)
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 894-8768
PROF. WHITNEY HANNA BALMERT PA
Pediatrics
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 894-8768
MALLORY GAYTAN-PANDA PA-C
Physician Assistant
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 398-6470
CENTRAL FLORIDA PEDIATRIC INTENSVIE CARE SPECIALIST
Pediatrics (Pediatric Critical Care Medicine)
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 894-8768
DR. LEWIS WASSERMAN MD
Pediatrics
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 398-6470
JAQUELINE MARIETTE FREYRE-CUBANO MD
Pediatrics
844 N THORNTON AVE
ORLANDO, FL 32803
Orange County (407) 398-6470

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 Nira Patel's NPI number?

The NPI number for Nira Patel is 1205132735. It was assigned to this individual provider in the NPPES registry on February 1, 2011.

Where is Nira Patel located?

Nira Patel practices at 844 N Thornton Ave, Orlando, FL 32803. The listed phone number is (407) 398-6470.

What is Nira Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nira Patel enrolled in Medicare?

Yes. Nira Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nira Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nira Patel reassigns Medicare benefits to Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). The 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 Nira Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nira Patel accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and WellPoint list Nira 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.

When was this NPI record last updated?

The NPPES record for Nira Patel was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.