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DR. TUSHAR PATEL M.D.
NPI 1205878238
Emergency Medicine - Emergency Medical Services in Southfield, MI

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Tushar Patel M.d. NPPES

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

DR. TUSHAR PATEL M.D. (NPI 1205878238) is an individual emergency medical services provider in Southfield, Michigan, licensed in Michigan (4301061716) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Wayne State University School Of Medicine (1993).

NPPES Registry Identity

NPI1205878238
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. TUSHAR PATELCredential: M.D.
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing Address45863 Tournament DrNorthville, MI 48168-8582
Phone(248) 849-3000
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1993
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1205878238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in MI · 4301061716
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
16001 W 9 MILE RD, Southfield, MI 48075
Open in Google Maps ↗

Other Identifiers 1

OtherTP061716MI · Bc/bs Of Michigan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Tushar 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 ID9234261330
PECOS Enrollment IDI20100723000798
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 8

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
345 services340 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
141 services138 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
84 services84 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
78 services77 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
29 services29 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.5
Improvement Activities0
Cost75.07

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.

JONATHAN ARIE KROLL M.D.
Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Pediatrics (Neonatal-Perinatal Medicine)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
MARY LYNN MEISEL CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
MS. JESSICA L BEACOME ACNP
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Oakland County (248) 849-8716
TRACY CHASE GROVES CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
TERESEA ANN ZARZA NP
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-2528
DR. LINDSAY ANNE RICHMOND-PRUNEAU M.D.
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
NICOLE NOEL SILVESTRI NP
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806

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 Tushar Patel's NPI number?

The NPI number for Tushar Patel is 1205878238. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Tushar Patel located?

Tushar Patel practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.

What is Tushar Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Tushar Patel enrolled in Medicare?

Yes. Tushar 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.

What insurance does Tushar Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tushar 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 Tushar Patel affiliated with any hospitals?

According to CMS data, Tushar Patel is affiliated with Ascension Providence Hospital, Southfield And Novi and Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Tushar Patel was last updated on July 13, 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.