DR. NIRAV A PATEL M.D.
NPI 1265783815
Family Medicine in Dallas, TX

Active since September 23, 2012PECOS EnrolledAccepts Medicare Assignment
3427 TRINITY MILLS RD STE 800, DALLAS, TX 75287(972) 478-8800(972) 478-8813 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2023, Oct 16, 2019, May 10, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Nirav A Patel M.d. NPPES

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

DR. NIRAV A PATEL M.D. (NPI 1265783815) is an individual family medicine provider in Dallas, Texas, licensed in Texas (R3578) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Dallas Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1265783815
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIRAV A PATELCredential: M.D.
Location Address3427 TRINITY MILLS RD STE 800Dallas, TX 75287-6203
Mailing Address3427 Trinity Mills Rd Ste 800Dallas, TX 75287-6203 · (972) 478-8800 · Fax (972) 478-8813
Fax(972) 478-8813
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 23, 2012
Last NPPES UpdateJanuary 24, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
NPI 1265783815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · R3578
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3427 TRINITY MILLS RD STE 800, Dallas, TX 75287

Accepted 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

Dr. Nirav A 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 ID4789971177
PECOS Enrollment IDI20190606002526
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 20

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
143 services20 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
116 services12 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
110 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
99 services68 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
95 services13 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.
92 services53 patients

Hospital Affiliations CMS Care Compare

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

Dallas Medical Center

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450379
Location7 Medical ParkwayDallas, TX 75234 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75287 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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
1 supplier12 claims12 services$51.46 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 5

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

Pharmacist
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Family Medicine
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Internal Medicine
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Clinic/Center (Primary Care)
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Family Medicine
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1265783815. It was assigned to this individual provider in the NPPES registry on September 23, 2012.

Where is Nirav Patel located?

Nirav Patel practices at 3427 Trinity Mills Rd Ste 800, Dallas, TX 75287. The listed phone number is (972) 478-8800.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav 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 Nirav Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and WellPoint list Nirav 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 Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.