NISHANT PRAVINCHANDRA PATEL M.D.
NPI 1265828842
Obstetrics & Gynecology in Langhorne, PA

Q: What is Nishant Patel's NPI number?

The NPI number for Nishant Patel is 1265828842. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nishant Patel was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 10, 2015PECOS EnrolledAccepts Medicare Assignment

1203 LANGHORNE NEWTOWN RD STE 125, LANGHORNE, PA 19047(267) 607-5950(267) 560-5680 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2021, Jan 17, 2020 (2 updates tracked since 2020).

On this page

About Nishant Pravinchandra Patel M.d. NPPES

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

NISHANT PRAVINCHANDRA PATEL M.D. (NPI 1265828842) is an individual obstetrics & gynecology provider in Langhorne, Pennsylvania, licensed in New Jersey (25MA10680400) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Abington Memorial Hospital, and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1265828842

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameNISHANT PRAVINCHANDRA PATELCredential: M.D.

Location Address1203 LANGHORNE NEWTOWN RD STE 125Langhorne, PA 19047-1212

Mailing AddressPo Box 22581New York, NY 10087-2581 · (610) 482-4795 · Fax (856) 528-3117

Phone(267) 607-5950

Fax(267) 560-5680

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 10, 2015

Last NPPES UpdateJune 28, 20212 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1265828842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 25MA10680400

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1203 LANGHORNE NEWTOWN RD STE 125, Langhorne, PA 19047

Open in Google Maps ↗

Secondary Practice Location 1

Location 1254 Easton AveNew Brunswick, NJ 08901-1766 · Phone (732) 745-8520 · Fax (732) 745-7537

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Nishant Pravinchandra 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 ID840627576

PECOS Enrollment IDI20200219000585

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

Medicare enrollment records show Nishant Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abington Memorial Hospital

11 mi

Obstetrics

1200 OLD YORK RD
Abington, PA 19001

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1316189855 (Pennsylvania), NPI 1013961101 (Pennsylvania)
107 clinicians in this Medicare group

NPI 1548825243 (215) 481-2000

Saint Peter's University Hospital

33 mi

General Acute Care Hospital

254 EASTON AVE
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Saint Peters University Hospital
325 clinicians in this Medicare group

NPI 1114924834 (732) 745-6651

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 3

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Obstetrics & Gynecology

1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE, PA 19047

Bucks County (215) 710-5610

WHCGPA WOMEN'S HEALTH CARE ASSOCIATES OF BUCKS COUNTY

Obstetrics & Gynecology

1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE, PA 19047

Bucks County (215) 710-5610

ANNE K PARKER CRNP

Nurse Practitioner

1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE, PA 19047

Bucks County (267) 607-5950

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 1265828842. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Nishant Patel located?

Nishant Patel practices at 1203 Langhorne Newtown Rd Ste 125, Langhorne, PA 19047. The listed phone number is (267) 607-5950.

What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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.

Which organizations bill Medicare for Nishant Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Patel reassigns Medicare benefits to 2 organizations: Abington Memorial Hospital (Abington, PA) and Saint Peter's University Hospital (New Brunswick, NJ). 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 Nishant Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishant Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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 Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nishant Patel was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.