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NIRAV PATEL MD
NPI 1215977202
Family Medicine in Renton, WA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
200 S 2ND ST, RENTON, WA 98057(425) 226-5536(425) 226-0354 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nirav Patel Md NPPES

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

NIRAV PATEL MD (NPI 1215977202) is an individual family medicine provider in Renton, Washington, licensed in Washington (MD60140025) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1999).

NPPES Registry Identity

NPI1215977202
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIRAV PATELCredential: MD
Location Address200 S 2ND STRenton, WA 98057-2011
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Phone(425) 226-5536
Fax(425) 226-0354
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1999
Enumeration DateJune 7, 2006
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1215977202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD60140025✔ Licensed in PA · MD419312✔ Licensed in CA · C52899
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 S 2ND ST, Renton, WA 98057
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Other Identifiers 1

Medicaid01951273PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Nirav Patel Md 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 ID8628159308
PECOS Enrollment IDI20080118000701, I20101118000368
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.

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 19

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

TARA D SHELBY
Counselor
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
LAIRD PATTERSON
Neurological Surgery
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
PETER METZGER M.D.
Pediatrics
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
DR. KENERA COLLEY DO
Family Medicine
200 S 2ND ST
RENTON, WA 98057
King County (425) 277-1311
DR. SHANNON DUFFY APRN
Nurse Practitioner
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
YAOWANIT BALANGUE DI
Dietitian, Registered
200 S 2ND ST
RENTON, WA 98057
King County (425) 266-7039
HANNAH JAGGERS MD
Family Medicine
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
EUNICE D SOH
Nurse Practitioner
200 S 2ND ST
RENTON, WA 98057
King County (425) 266-7039

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1215977202. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Nirav Patel located?

Nirav Patel practices at 200 S 2nd St, Renton, WA 98057. The listed phone number is (425) 226-5536.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav 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 Nirav Patel accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nirav 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 Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.