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

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: July 19, 2026.

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

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 Holy Redeemer Hospital And Medical Center, 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
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

Secondary Practice Location 1

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

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

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 2

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

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE, PA 19047
Obstetrics & Gynecology
1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE, PA 19047
Nurse Practitioner
1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE, PA 19047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265828842, enumerated as an "individual" on April 10, 2015.

The provider is located at 1203 LANGHORNE NEWTOWN RD STE 125 LANGHORNE, PA 19047 and the phone number is (267) 607-5950.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Nishant Patel is affiliated with: HOLY REDEEMER HOSPITAL AND MEDICAL CENTER and ABINGTON MEMORIAL HOSPITAL.