NIKETU PATEL MD
NPI 1225015118
Otolaryngology in Allentown, PA

Q: What is Niketu Patel's NPI number?

The NPI number for Niketu Patel is 1225015118. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Niketu Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Niketu Patel was last updated on July 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment

1575 POND RD, STE 203, ALLENTOWN, PA 18104(610) 366-1366(610) 366-7412 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Niketu Patel Md NPPES

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

NIKETU PATEL MD (NPI 1225015118) is an individual otolaryngology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD066998L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Eastern Virginia Medical School (1995).

NPPES Registry Identity

NPI1225015118

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameNIKETU PATELCredential: MD

Location Address1575 POND RD, STE 203Allentown, PA 18104

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699

Phone(610) 366-1366

Fax(610) 366-7412

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1995

Enumeration DateDecember 30, 2005

Last NPPES UpdateJuly 26, 2018

✔ NPI 1225015118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in PA · MD066998L

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1575 POND RD, Allentown, PA 18104

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Other Identifiers 1

OtherH18817PA · Upin

Accepted Insurance

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

Niketu 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 ID6709826852

PECOS Enrollment IDI20110105001190

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 15

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

2,691 services67 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

503 services76 patients

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.

389 services281 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

318 services267 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

261 services252 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

256 services195 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

243 services233 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.

135 services135 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

81 services79 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.

78 services72 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

69 services69 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

45 services41 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.

32 services31 patients

Simple removal of skin debris and drainage of mastoid cavity 69220

This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.

25 services13 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MR. ANDREW JOHN FERRETTI PA-C

Physician Assistant (Medical)

1575 POND RD, STE 203
ALLENTOWN, PA 18104

Lehigh County (610) 366-1366

ROBERT DEDIO MD

Otolaryngology

1575 POND RD, STE 203
ALLENTOWN, PA 18104

Lehigh County (610) 366-1366

DR. EUGENE JAMES MCGUIRE D.D.S.

Dentist (Pediatric Dentistry)

1575 POND RD, SUITE 105
ALLENTOWN, PA 18104

Lehigh County (610) 481-9100

CAROLYN SIMPSON SCOTT M.D.

Obstetrics & Gynecology (Gynecology)

1575 POND RD, SUITE 104
ALLENTOWN, PA 18104

Lehigh County (610) 398-7848

DR. DAVID S STRASSMAN D.D.S.

Dentist (General Practice)

1575 POND RD, SUITE 101
ALLENTOWN, PA 18104

Lehigh County (610) 398-8110

HILARY KOPROWSKI II MD

Otolaryngology

1575 POND RD, STE 203
ALLENTOWN, PA 18104

Lehigh County (610) 366-1366

HALEY TOCZKO PA-C

Physician Assistant (Medical)

1575 POND RD
ALLENTOWN, PA 18104

Lehigh County (610) 366-1366

ELIZABETH PARR CNM

Nurse Practitioner (Obstetrics & Gynecology)

1575 POND RD, SUITE 104
ALLENTOWN, PA 18104

Lehigh County (610) 398-7848

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 Niketu Patel's NPI number?

The NPI number for Niketu Patel is 1225015118. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Niketu Patel located?

Niketu Patel practices at 1575 Pond Rd Ste 203, Allentown, PA 18104. The listed phone number is (610) 366-1366.

What is Niketu Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Niketu Patel enrolled in Medicare?

Yes. Niketu 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 Niketu Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Niketu 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 Niketu Patel affiliated with any hospitals?

According to CMS data, Niketu Patel is affiliated with St Luke's Hospital Bethlehem and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Niketu Patel was last updated on July 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.