Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEGHA PATEL M.D.
NPI 1265987721
Emergency Medicine in Lansing, MI

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment
76.13/100
CMS Quality Rating
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-2570 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, Jun 30, 2025, Jun 27, 2025 and 3 more (6 updates tracked since 2016).

About Megha Patel M.d. NPPES

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

MEGHA PATEL M.D. (NPI 1265987721) is an individual emergency medicine provider in Lansing, Michigan, licensed in Arizona (68041) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Placentia, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265987721
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMEGHA PATELCredential: M.D.
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing Address1041 E Yorba Linda BlvdPlacentia, CA 92870-3728 · (714) 316-7428 · Fax (714) 503-8522
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 24, 2016
Last NPPES UpdateSeptember 15, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1265987721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 68041✔ Licensed in CA · A172471✔ Licensed in MI · 5315077748
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License A172471 (CA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License A172471 (CA)
1215 E MICHIGAN AVE, Lansing, MI 48912

Secondary Practice Location 1

Location 11041 E Yorba Linda BlvdPlacentia, CA 92870-3728 · Phone (714) 316-7428 · Fax (714) 503-8522

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

Megha 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 ID8123356227
PECOS Enrollment IDI20210622002370
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

4

Medicare enrollment records show Megha Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
250 N 1ST ST
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1073554002 (California)
  • 2,323 clinicians in this Medicare group
Emergency Medicine
800 S MAIN ST
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Family Medicine
1041 E YORBA LINDA BLVD
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
450 services428 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
403 services391 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services116 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.43
Improvement Activities40

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.

Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912

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 Megha Patel's NPI number?

The NPI number for Megha Patel is 1265987721. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Megha Patel located?

Megha Patel practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-2570.

What is Megha Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Megha Patel enrolled in Medicare?

Yes. Megha 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 Megha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megha Patel reassigns Medicare benefits to 4 organizations: Cep America-California (Blythe, CA), Corona Regional Emergency Medical Associates Inc (Corona, CA), Southern California Permanente Medical Group (Lancaster, CA) and Woundology Corp (Placentia, 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 Megha 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 Megha Patel was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.