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SANKET LALJI PATEL MD
NPI 1265512198
Internal Medicine in Las Vegas, NV

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
58.85/100
CMS Quality Rating
9811 W CHARLESTON BLVD, SUITE 2-868, LAS VEGAS, NV 89117(702) 388-1300 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sanket Lalji Patel Md NPPES

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

SANKET LALJI PATEL MD (NPI 1265512198) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (11973) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of University Of Nevada School Of Medicine (2003).

NPPES Registry Identity

NPI1265512198
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANKET LALJI PATELCredential: MD
Location Address9811 W CHARLESTON BLVD, SUITE 2-868Las Vegas, NV 89117-7528
Mailing Address9811 W Charleston Blvd, Suite 2-868Las Vegas, NV 89117-7528
Phone(702) 388-1300
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2003
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 11, 2013
✔ NPI 1265512198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 11973
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9811 W CHARLESTON BLVD, Las Vegas, NV 89117
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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

Sanket Lalji 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 ID4981602869
PECOS Enrollment IDI20061201000541
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 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 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.
1,311 services430 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.
440 services401 patients
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.
243 services122 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.
27 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services16 patients

Hospital Affiliations CMS Care Compare

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

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89117 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

58.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.4
Improvement Activities40
Cost49.45

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers119 claims120 services$13.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers130 claims131 services$59.38 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 20

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

DAVID PIKULA
Specialist/Technologist, Other (Electroneurodiagnostic)
9811 W CHARLESTON BLVD, BLVD 2-641
LAS VEGAS, NV 89117
Clark County (855) 864-4322
RONI REITZ
Specialist/Technologist, Other (Electroneurodiagnostic)
9811 W CHARLESTON BLVD, SUITE 2 -641
LAS VEGAS, NV 89117
Clark County (855) 864-4322
KATHLEEN THERESE SCHUHMACHER
Specialist/Technologist, Other (Electroneurodiagnostic)
9811 W CHARLESTON BLVD
LAS VEGAS, NV 89117
Clark County (855) 864-4322
SHAHAB MOKHTARE M.D.
Family Medicine
9811 W CHARLESTON BLVD, SUITE 2441
LAS VEGAS, NV 89117
Clark County (702) 953-1576
UNITED CARE CENTERS, LLC.
Clinic/Center (Urgent Care)
9811 W CHARLESTON BLVD, SUITE #2-389
LAS VEGAS, NV 89117
Clark County (702) 272-0500
TRACY DANIELS
Specialist/Technologist, Other (Electroneurodiagnostic)
9811 W CHARLESTON BLVD, SUITE 2-641
LAS VEGAS, NV 89117
Clark County (318) 390-2906
ADAM WOODS CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
9811 W CHARLESTON BLVD, 2-641
LAS VEGAS, NV 89117
Clark County (855) 864-4322
KATELYNN THOMAS
Specialist/Technologist, Other (Electroneurodiagnostic)
9811 W CHARLESTON BLVD
LAS VEGAS, NV 89117
Clark County (855) 864-4322

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 Sanket Patel's NPI number?

The NPI number for Sanket Patel is 1265512198. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Sanket Patel located?

Sanket Patel practices at 9811 W Charleston Blvd Suite 2-868, Las Vegas, NV 89117. The listed phone number is (702) 388-1300.

What is Sanket Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanket Patel enrolled in Medicare?

Yes. Sanket 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.

Is Sanket Patel affiliated with any hospitals?

According to CMS data, Sanket Patel is affiliated with Summerlin Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Sanket Patel was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.