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NIHAL Y PATEL MD
NPI 1265948061
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since December 17, 2017PECOS EnrolledAccepts Medicare Assignment
10666 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-3200 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2024, Mar 23, 2023, Apr 14, 2020 and 1 more (4 updates tracked since 2017).

About Nihal Y Patel Md NPPES

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

NIHAL Y PATEL MD (NPI 1265948061) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265948061
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIHAL Y PATELCredential: MD
Location Address10666 N TORREY PINES RDLa Jolla, CA 92037-1027
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-3200
Phone(858) 554-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2017
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1265948061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedHospitalistTaxonomy 208M00000X · License A184033 (CA)
10666 N TORREY PINES RD, La Jolla, CA 92037
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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

Nihal Y 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 ID3072987296
PECOS Enrollment IDI20230329001813, I20241226002876
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

2

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

Scripps Health
Same address
Multi-Specialty
10666 N TORREY PINES RD
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1275899072 (858) 554-9100
Southern California Permanente Medical Group
10 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

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 4

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
62 services33 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.
33 services25 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.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

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.

MRS. SUSAN ELIZABETH MCKIM PA-C
Physician Assistant (Medical)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-8646
ROBERT R. VARNEY M.D.
Radiology (Vascular & Interventional Radiology)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 626-7275
DR. ERMINIA M. GUARNERI M.D.
Internal Medicine (Cardiovascular Disease)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-3330
KATRINA DELEON MD
Internal Medicine (Geriatric Medicine)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-6158
VIRGINIA CHAN MD
Hospitalist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-3200
NOOR QADDOUR DO
Hospitalist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-7909
DR. DEAN J. VAYSER D.P.M.
Podiatrist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-9300
DR. ARASH KERMANSHAHI M.D.
Orthopaedic Surgery
10666 N TORREY PINES RD
LA JOLLA, CA 92037
San Diego County (858) 554-7993

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 Nihal Patel's NPI number?

The NPI number for Nihal Patel is 1265948061. It was assigned to this individual provider in the NPPES registry on December 17, 2017.

Where is Nihal Patel located?

Nihal Patel practices at 10666 N Torrey Pines Rd, La Jolla, CA 92037. The listed phone number is (858) 554-3200.

What is Nihal Patel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nihal Patel enrolled in Medicare?

Yes. Nihal 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 Nihal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nihal Patel reassigns Medicare benefits to 2 organizations: Scripps Health (La Jolla, CA) and Southern California Permanente Medical Group (San Diego, CA). 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 Nihal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nihal Patel was last updated on May 7, 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.