NISHANT PATEL M.D.
NPI 1336373232
Pediatrics - Pediatric Gastroenterology in Orlando, FL

Active since May 06, 2009PECOS EnrolledAccepts Medicare Assignment
60 W GORE ST, ORLANDO, FL 32806(321) 841-3338(321) 841-2170 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2016, Oct 21, 2016 (2 updates tracked since 2016).

About Nishant Patel M.d. NPPES

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

NISHANT PATEL M.D. (NPI 1336373232) is an individual pediatric gastroenterology provider in Orlando, Florida, licensed in Florida (ME128314) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336373232
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameNISHANT PATELCredential: M.D.
Location Address60 W GORE STOrlando, FL 32806-1141
Mailing Address60 W Gore StOrlando, FL 32806-1141 · (321) 841-3338 · Fax (321) 841-2170
Fax(321) 841-2170
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 6, 2009
Last NPPES UpdateNovember 18, 20162 updates tracked since enumeration
✔ NPI 1336373232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in FL · ME128314
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
60 W GORE ST, Orlando, FL 32806

Other Identifiers 3

Medicaid017684200FL
Medicare PINIP489ZFL
OtherME128314FL · Medical License

Accepted Insurance

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

Nishant 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 ID3971748674
PECOS Enrollment IDI20160714002185
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 Nishant Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 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 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Nurse Practitioner (Pediatrics)
60 W GORE ST
ORLANDO, FL 32806
Medical Genetics (Clinical Genetics (M.D.))
60 W GORE ST
ORLANDO, FL 32806
Pediatrics (Pediatric Allergy/Immunology)
60 W GORE ST
ORLANDO, FL 32806
Pediatrics (Pediatric Endocrinology)
60 W GORE ST, 2ND FLOOR
ORLANDO, FL 32806
Pediatrics (Pediatric Gastroenterology)
60 W GORE ST
ORLANDO, FL 32806
Dietitian, Registered (Nutrition, Pediatric)
60 W GORE ST
ORLANDO, FL 32806
Student in an Organized Health Care Education/Training Program
60 W GORE ST
ORLANDO, FL 32806
Nurse Practitioner (Pediatrics)
60 W GORE ST
ORLANDO, FL 32806

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 Nishant Patel's NPI number?

The NPI number for Nishant Patel is 1336373232. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Nishant Patel located?

Nishant Patel practices at 60 W Gore St, Orlando, FL 32806. The listed phone number is (321) 841-3338.

What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Nishant Patel enrolled in Medicare?

Yes. Nishant 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 Nishant Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Patel reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). 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 Nishant Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishant Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Nishant 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 Nishant Patel was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.