NISHA A PATEL D.O.
NPI 1326276528
Hospitalist in San Francisco, CA

Active since June 25, 2009PECOS Enrolled
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-3458(415) 558-7020 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nisha A Patel D.o. NPPES

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

NISHA A PATEL D.O. (NPI 1326276528) is an individual hospitalist provider in San Francisco, California, licensed in California (20A11705) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Clemente.

NPPES Registry Identity

NPI1326276528
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNISHA A PATELCredential: D.O.
Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 600-3458 · Fax (415) 558-7020
Fax(415) 558-7020
Sole ProprietorYes
Enumeration DateJune 25, 2009
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1326276528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · 20A11705
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A11705 (CA)
1100 VAN NESS AVE, San Francisco, CA 94109

Secondary Practice Location 1

Location 1665 Camino De Los Mares Ste 210San Clemente, CA 92673-2841 · Phone (949) 240-6772 · Fax (949) 240-6841

Other Identifiers 2

Other20A11705CA · State Medical License
OtherGM858ZCA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nisha A Patel D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

Physician Assistant
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Registered Nurse (Critical Care Medicine)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Obstetrics & Gynecology
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Psychiatry & Neurology (Neurology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Neurological Surgery
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Radiology (Vascular & Interventional Radiology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Physical Medicine & Rehabilitation
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Nurse Practitioner (Family)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109

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 Nisha Patel's NPI number?

The NPI number for Nisha Patel is 1326276528. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Nisha Patel located?

Nisha Patel practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-3458.

What is Nisha Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nisha Patel enrolled in Medicare?

Yes. Nisha Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nisha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Patel reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (San Francisco, CA) and Sutter Bay Medical Foundation (Orinda, 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 Nisha 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 Nisha Patel was last updated on April 8, 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.