NISHANT JAYANTI PATEL MD
NPI 1265693311
Internal Medicine - Gastroenterology in Flower Mound, TX

Q: What is Nishant Patel's NPI number?

The NPI number for Nishant Patel is 1265693311. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Q: What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nishant Patel was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

4370 MEDICAL ARTS DR, SUITE 295, FLOWER MOUND, TX 75028(972) 691-3777(972) 691-3666 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nishant Jayanti Patel Md NPPES

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

NISHANT JAYANTI PATEL MD (NPI 1265693311) is an individual gastroenterology provider in Flower Mound, Texas, licensed in Texas (Q2600) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of University Of Alabama School Of Medicine (2008).

NPPES Registry Identity

NPI1265693311

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNISHANT JAYANTI PATELCredential: MD

Location Address4370 MEDICAL ARTS DR, SUITE 295Flower Mound, TX 75028-1712

Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159

Phone(972) 691-3777

Fax(972) 691-3666

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008

Enumeration DateJune 20, 2008

Last NPPES UpdateMarch 3, 2016

✔ NPI 1265693311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · Q2600

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2008016746 (MO)

4370 MEDICAL ARTS DR, Flower Mound, TX 75028

Open in Google Maps ↗

Other Identifiers 2

Other8FK385TX · Bcbstx Provider Identification Number

Medicare PIN383276YPPMTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nishant Jayanti 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 ID446573117

PECOS Enrollment IDI20150105000851

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.

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.

112 services107 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

103 services103 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.

103 services103 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.

66 services61 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.

44 services44 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

38 services38 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.

35 services17 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

26 services19 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.

21 services21 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

20 services17 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

19 services14 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

16 services16 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services13 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

13 services12 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450669

Location500 West Main StreetLewisville, TX 75057 · Denton County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670068

Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

79.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$2.39 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

1 supplier11 claims7,260 services$0.26 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 14

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

DR. JOHN LANCE PICKARD MD

Urology

4370 MEDICAL ARTS DR, SUITE 105
FLOWER MOUND, TX 75028

Denton County (214) 691-1902

NORTH TEXAS KIDNEY DISEASE ASSOCIATES

Internal Medicine (Nephrology)

4370 MEDICAL ARTS DR, SUITE 210
FLOWER MOUND, TX 75028

Denton County (972) 219-0558

COMPLETE FERTILITY CARE, PLLC

Clinic/Center

4370 MEDICAL ARTS DR, SUITE # 315
FLOWER MOUND, TX 75028

Denton County (214) 223-1921

REPRODUCTION HEALTHCARE PLLC

Specialist

4370 MEDICAL ARTS DR, #315
FLOWER MOUND, TX 75028

Denton County (817) 769-2850

DR. JAMES T COX M.D.

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

DR. ANDREW FOY HOLT M.D.

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

JOHN LAWRENCE FAIRBANKS MD

Urology

4370 MEDICAL ARTS DR, SUITE 105
FLOWER MOUND, TX 75028

Denton County (214) 394-4500

DR. ANITA C. STEEPHEN M.D.

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

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 Nishant Patel's NPI number?

The NPI number for Nishant Patel is 1265693311. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Nishant Patel located?

Nishant Patel practices at 4370 Medical Arts Dr Suite 295, Flower Mound, TX 75028. The listed phone number is (972) 691-3777.

What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nishant Patel enrolled in Medicare?

Yes. Nishant 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 Nishant Patel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Nishant 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 Nishant Patel affiliated with any hospitals?

According to CMS data, Nishant Patel is affiliated with Baylor Scott & White Medical Center Grapevine, Medical City Lewisville and Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for Nishant Patel was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.