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DR. NIKASH JAY PATEL M.D.
NPI 1255793444
Hospitalist in Lakeland, FL

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1321(863) 603-6534 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Feb 18, 2021, Sep 11, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Nikash Jay Patel M.d. NPPES

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

DR. NIKASH JAY PATEL M.D. (NPI 1255793444) is an individual hospitalist provider in Lakeland, Florida, licensed in Kentucky (58125) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255793444
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NIKASH JAY PATELCredential: M.D.
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805 · (863) 687-1100
Phone(863) 687-1321
Fax(863) 603-6534
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2016
Last NPPES UpdateOctober 31, 20246 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1255793444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in KY · 58125✔ Licensed in FL · ME142082
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 E University Pkwy, Dept Of MedicineBaltimore, MD 21218-2829 · Phone (410) 554-2284
Location 2911 Bypass Rd Bldg APikeville, KY 41501-1602 · Phone (606) 430-3500 · Fax (606) 218-4697

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Nikash Jay 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 ID9830480656
PECOS Enrollment IDI20230830002096
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

10

Medicare enrollment records show Nikash Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Regional Health Systems, Inc.
Same address
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251
Lake Wales Physician Services, LLC
26 mi
Hospitalist
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1164902797 (863) 676-1433
Wound Rx Medical Services Of Florida LLC
68 mi
Family Medicine
602 S TAMIAMI TRL
Osprey, FL 34229
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1578395380 (786) 531-4702
Premier Inpatient Partners LLC
124 mi
Hospitalist
2338 IMMOKALEE RD, SUITE 186
Naples, FL 34110
  • Reassigned Medicare billing, Florida enrollment
  • 140 clinicians in this Medicare group
NPI 1568916492 (239) 330-2933
Emergency Medicine Services Of Fl, LLC
182 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Hospital Medicine Services Of Fl, LLC
182 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000
Oak Grove Physician Services, P.A.
182 mi
Internal Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Oak Grove Physician Services PA
  • 119 clinicians in this Medicare group
NPI 1689446700 (305) 651-1100
Pikeville Medical Center Inc.
626 mi
Clinic/Center
148 SUITE A, WHITESBURG PLAZA
Whitesburg, KY 41858
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1801106281 (606) 218-3500
Baptist Health Medical Group Inc
704 mi
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1093338527 (270) 737-0077
St Bernards Hospital Inc.
742 mi
General Acute Care Hospital
225 E WASHINGTON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 318 clinicians in this Medicare group
NPI 1396053096 (870) 207-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
179 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
139 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
60 services60 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.
38 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

CHRISTIAN ABREU-RAMIREZ MD
Internal Medicine (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JARED MCLAUGHLIN
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JEFF RIGBY DO
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
ANDREA BEALE A.R.N.P.
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 284-5020
MR. TAMI LYNN HOWER ARNP
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1321
DR. ADALBERTO ALFONSO MD
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1359
DR. BISHOY KOLTA M.D.
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1275
MICALEIGH NOLL PHARMD
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100

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 Nikash Patel's NPI number?

The NPI number for Nikash Patel is 1255793444. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Nikash Patel located?

Nikash Patel practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1321.

What is Nikash Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nikash Patel enrolled in Medicare?

Yes. Nikash 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 Nikash Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikash Patel reassigns Medicare benefits to 10 organizations: Lakeland Regional Health Systems, Inc. (Lakeland, FL), Lake Wales Physician Services, LLC (Lake Wales, FL), Wound Rx Medical Services Of Florida LLC (Osprey, FL), Premier Inpatient Partners LLC (Naples, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL) and 5 more organizations, listed in the Medicare section above. 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 Nikash Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikash Patel accept?

Health plans from CareSource, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Nikash 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 Nikash Patel affiliated with any hospitals?

According to CMS data, Nikash Patel is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Nikash Patel was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.