NIRAJ PATEL M.D.
NPI 1326302191
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
DIVISION OF GASTROENTEROLOGY & HEPATOLOGY, 9500 GILMAN DRIVE, LA JOLLA, CA 92093(619) 543-2347 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Niraj Patel M.d. NPPES

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

NIRAJ PATEL M.D. (NPI 1326302191) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2011).

NPPES Registry Identity

NPI1326302191
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIRAJ PATELCredential: M.D.
Location AddressDIVISION OF GASTROENTEROLOGY & HEPATOLOGY, 9500 GILMAN DRIVELa Jolla, CA 92093-0956
Mailing Address9500 Gilman Dr, Division Of Gastroenterology & HepatologyLa Jolla, CA 92093-0956 · (619) 543-2347
Sole ProprietorYes
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2011
Enumeration DateJune 27, 2012
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1326302191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
DIVISION OF GASTROENTEROLOGY & HEPATOLOGY, La Jolla, CA 92093

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

Niraj 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 ID7719279959
PECOS Enrollment IDI20171009001972
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 Reassignment

Medicare enrollment records show Niraj Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

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 Niraj Patel's NPI number?

The NPI number for Niraj Patel is 1326302191. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Niraj Patel located?

Niraj Patel practices at Division Of Gastroenterology & Hepatology 9500 Gilman Drive, La Jolla, CA 92093. The listed phone number is (619) 543-2347.

What is Niraj 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 Niraj Patel enrolled in Medicare?

Yes. Niraj 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 organization bills Medicare for Niraj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Patel reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Niraj 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 Niraj Patel was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.