NIRAV N PATEL MD
NPI 1215997374
Specialist in Rock Hill, SC

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
78.71/100
CMS Quality Rating
170 AMENDMENT AVE, ROCK HILL, SC 29732(803) 324-7607(803) 324-1449 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nirav N Patel Md NPPES

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

NIRAV N PATEL MD (NPI 1215997374) is an individual specialist in Rock Hill, South Carolina, licensed in South Carolina (28669) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1215997374
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNIRAV N PATELCredential: MD
Location Address170 AMENDMENT AVERock Hill, SC 29732-3073
Mailing Address170 Amendment Ave, Digestive Disease Associates Of York County, PaRock Hill, SC 29732 · (803) 324-7607 · Fax (803) 324-1449
Fax(803) 324-1449
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 10, 2011
NPI 1215997374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in SC · 28669
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
170 AMENDMENT AVE, Rock Hill, SC 29732

Accepted 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 N 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 ID9436161460
PECOS Enrollment IDI20060612000235
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 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services145 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services133 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
122 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
116 services116 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services91 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
75 services74 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

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.

78.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.4
Improvement Activities40
Cost52.49

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims390 services$3.86 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims4,491 services$0.24 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 15

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

Nurse Practitioner (Family)
170 AMENDMENT AVE
ROCK HILL, SC 29732
Specialist
170 AMENDMENT AVE
ROCK HILL, SC 29732
Internal Medicine (Gastroenterology)
170 AMENDMENT AVE
ROCK HILL, SC 29732
Internal Medicine (Gastroenterology)
170 AMENDMENT AVE, DIGESTIVE DISEASE ASSOCIATES OF YORK COUNTY PA
ROCK HILL, SC 29732
Internal Medicine (Gastroenterology)
170 AMENDMENT AVE
ROCK HILL, SC 29732
Internal Medicine (Gastroenterology)
170 AMENDMENT AVE
ROCK HILL, SC 29732
Nurse Practitioner (Adult Health)
170 AMENDMENT AVE
ROCK HILL, SC 29732
Nurse Practitioner (Family)
170 AMENDMENT AVE
ROCK HILL, SC 29732

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 1215997374. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Nirav Patel located?

Nirav Patel practices at 170 Amendment Ave, Rock Hill, SC 29732. The listed phone number is (803) 324-7607.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare 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 Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.