ANKUR PATEL FNP
NPI 1245636091
Nurse Practitioner - Psychiatric/Mental Health in Macomb, MI

Active since November 06, 2014PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
15644 HOUGHTON ST, MACOMB, MI 48044(248) 632-8182 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ankur Patel Fnp NPPES

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

ANKUR PATEL FNP (NPI 1245636091) is an individual psychiatric/mental health provider in Macomb, Michigan, licensed in Michigan (4704263525) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245636091
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANKUR PATELCredential: FNP
Location Address15644 HOUGHTON STMacomb, MI 48044-1512
Mailing Address15644 Houghton StMacomb, MI 48044-1512 · (248) 632-8182
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 6, 2014
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1245636091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704263525
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704263525 (MI)
15644 HOUGHTON ST, Macomb, MI 48044

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ankur Patel Fnp 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 ID4183767882
PECOS Enrollment IDI20150123000667
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 Reassignments

5

Medicare enrollment records show Ankur Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
19041 E 12 MILE RD # 103
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
Family Medicine
19041 E 12 MILE RD STE 103
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
Urgent Care
19041 E 12 MILE RD STE 102
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
Family Medicine
500 KIRTS BLVD, STE. 200
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 79 clinicians in this Medicare group
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group

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 48044 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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

Reported Quality Measures

Cervical Cancer Screening
38%21 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
2%93 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
15%20 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
95%78 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%44 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
49%45 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 10% · 41 patients
10%41 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ankur Patel's NPI number?

The NPI number for Ankur Patel is 1245636091. It was assigned to this individual provider in the NPPES registry on November 6, 2014.

Where is Ankur Patel located?

Ankur Patel practices at 15644 Houghton St, Macomb, MI 48044. The listed phone number is (248) 632-8182.

What is Ankur Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ankur Patel enrolled in Medicare?

Yes. Ankur 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.

Which organizations bill Medicare for Ankur Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ankur Patel reassigns Medicare benefits to 5 organizations: Inner Balance Mental Health LLC (Roseville, MI), Promed Primary Care PLLC (Roseville, MI), Promed Urgent Care PLLC (Roseville, MI), Iah Of Michigan, PLLC (Troy, MI) and Pure Psychiatry Of Michigan PLLC (Wayne, MI). Each 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 Ankur Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ankur 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 and 4 other insurers list Ankur 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 Ankur Patel was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.