DR. NIRAJ J. PATEL MD NPI 1346292778

Internal Medicine in Honolulu, HI

NPI 1346292778 Individual Male Years of Experience 23 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About NIRAJ PATEL

Niraj Patel is an internal medicine provider established in Honolulu, Hawaii and his medical specialization is internal medicine with more than 23 years of experience. He graduated from Albany Medical College Of Union University in 1999. The NPI number of Niraj Patel is 1346292778 and was assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD-13550 (HI). The provider is registered as an individual and his NPI record was last updated 14 years ago.

An internist like Dr. Niraj J. Patel Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Niraj Patel is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Niraj Patel is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Kaiser Foundation Hospital - South Bay.

NPI

1346292778

Provider NameDR. NIRAJ J. PATEL MD
Provider Location Address3288 MOANALUA RD HONOLULU, HI 96819
Provider Mailing Address3288 MOANALUA RD HONOLULU, HI 96819
GenderMale
NPI Entity TypeIndividual
Medical School NameALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-16-2006
Last Update Date10-18-2007


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD-13550
License StateHI
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. NIRAJ J. PATEL MD
3288 MOANALUA RD
HONOLULU, HI
ZIP 96819
Phone: (808) 432-4607

Get Directions


Mailing Address

DR. NIRAJ J. PATEL MD
3288 MOANALUA RD
HONOLULU, HI
ZIP 96819
Phone: (808) 432-4607



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8325008865
PECOS Enrollment IDI20111102000639
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Niraj Patel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
KAISER FOUNDATION HOSPITAL - SOUTH BAY25825 SOUTH VERMONT AVENUE
HARBOR CITY, CA 90710
(310) 325-5111Acute Care Hospitals50411

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0000259325OTHER (01)HI
584129-01MEDICAID (05)HI
H101499MEDICARE PIN (08)HI
I18458MEDICARE UPIN (02)HI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205826492DR. JOCHEBED CARTER MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-8140
1750347860 TERRY WHITE MD
Individual
Obstetrics & Gynecology3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1710945969HAWAII PERMANENTE MEDICAL GROUP INC
Organization
Health Maintenance Organization3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1033161641DR. JOHN Y. F. TSAI MD
Individual
Family Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-4607
1255385506 CHRISTINE M KING APRN
Individual
Nurse Practitioner3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-8321
1588699920 JERRY W. BECKHAM MD
Individual
Emergency Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-7030
1548287204 NATALIA KOLESNIKOVA MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-4607
1770502478DR. JEFFREY O. TOM MD
Individual
Pediatrics3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1679587513 JOAN M. FORESTER CRNA
Individual
Nurse Anesthetist, Certified Registered3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1134134976 GREG I. TANIDA LCSW
Individual
Social Worker (Clinical)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1700892023 COURTNEY H. L. LIN CRNA
Individual
Nurse Anesthetist, Certified Registered3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1043227218DR. JAMES H. YAMASHITA MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1497764799 CHARLENE M. AMELL FNP
Individual
Nurse Practitioner (Family)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1568471043DR. RAYMOND C. B. TAM MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1679584502 NATHAN H. FUJIMOTO MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1952415333 ROSSINI C. BOTEV MD
Individual
Internal Medicine (Nephrology)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1144332677 JEFFREY J WU MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1285730895MR. WILLIAM EUGENE HIGGINS C.R.N.A
Individual
Nurse Anesthetist, Certified Registered3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-8900
1942307004 GERIN T. S. CHUN MD
Individual
Anesthesiology3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1275632747DR. BRIAN K. TABATA MD
Individual
Anesthesiology3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.