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NISHITH G PATEL OD
NPI 1326327487
Optometrist in Gambrills, MD

Active since August 08, 2011PECOS EnrolledAccepts Medicare Assignment
2626 BRANDERMILL BLVD, GAMBRILLS, MD 21054(410) 451-9499 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nishith G Patel Od NPPES

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

NISHITH G PATEL OD (NPI 1326327487) is an individual optometrist in Gambrills, Maryland, licensed in Maryland (TA2261) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2011).

NPPES Registry Identity

NPI1326327487
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNISHITH G PATELCredential: OD
Location Address2626 BRANDERMILL BLVDGambrills, MD 21054-1651
Mailing Address2626 Brandermill BlvdGambrills, MD 21054-1651
Phone(410) 451-9499
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2011
Enumeration DateAugust 8, 2011
✔ NPI 1326327487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MD · TA2261
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2626 BRANDERMILL BLVD, Gambrills, MD 21054
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Other Identifiers 1

OtherTA2261MD · Md Board Of Optometry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Nishith G Patel Od 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 ID8628303054
PECOS Enrollment IDI20190708002399, I20190715000638
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21054 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

CROFTON OPTOMETRISTS INC
Optometrist
2626 BRANDERMILL BLVD
GAMBRILLS, MD 21054
Anne Arundel County (410) 451-9499
MYEYEDR OPTOMETRY OF MARYLAND, LLC
Optometrist
2626 BRANDERMILL BLVD
GAMBRILLS, MD 21054
Anne Arundel County (410) 451-9499
NV OPTOMETRY
Optometrist
2626 BRANDERMILL BLVD
GAMBRILLS, MD 21054
Anne Arundel County (410) 451-9499

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 Nishith Patel's NPI number?

The NPI number for Nishith Patel is 1326327487. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Nishith Patel located?

Nishith Patel practices at 2626 Brandermill Blvd, Gambrills, MD 21054. The listed phone number is (410) 451-9499.

What is Nishith Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nishith Patel enrolled in Medicare?

Yes. Nishith 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.

What insurance does Nishith Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Nishith Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nishith Patel was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.