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NIRALI PRAVINCHANDRA PATEL MD
NPI 1346772027
Internal Medicine in Fayetteville, NC

Active since March 31, 2017PECOS Enrolled
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304(910) 488-2120 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2025, Mar 10, 2022, Dec 14, 2020 and 2 more (5 updates tracked since 2017).

About Nirali Pravinchandra Patel Md NPPES

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

NIRALI PRAVINCHANDRA PATEL MD (NPI 1346772027) is an individual internal medicine provider in Fayetteville, North Carolina, licensed in North Carolina (MD470497) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346772027
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIRALI PRAVINCHANDRA PATELCredential: MD
Location Address7300 S RAEFORD RDFayetteville, NC 28304-6162
Mailing Address7300 S Raeford RdFayetteville, NC 28304-6162 · (910) 488-2120
Phone(910) 488-2120
Sole ProprietorNo
Enumeration DateMarch 31, 2017
Last NPPES UpdateOctober 1, 20255 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1346772027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · MD470497✔ Licensed in PA · MD470497
Definition
A 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.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License MD470497 (NC), MD470497 (PA)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License MD470497 (NC), MD470497 (PA)
7300 S RAEFORD RD, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nirali Pravinchandra Patel Md 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 Reassignment

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

The Wright Center Medical Group
475 mi
Internal Medicine
329 CHERRY ST
Scranton, PA 18505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
NPI 1194739979 (570) 591-5250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
77 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

JESSICA MARIE PARKS PHARMD
Pharmacist
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 488-2120
RUTH IYUN FAGBEMI M.D
Family Medicine
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 475-6185
MR. RICHARD STEVEN LOPEZ SR. RRT
Respiratory Therapist, Registered
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 488-2120
CYNTHIA THOMPKINS NP-C
Nurse Practitioner
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 488-2120
DR. RAKESH GUPTA MD
Specialist
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 488-2120
DR. HEATHER SAULS HONEYCUTT AUD,CCC-A
Audiologist
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 475-6821
RHOMELA IMPERIAL LINDO FNP-C
Nurse Practitioner (Family)
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 488-2120
CONNIE BAXTER FNP
Nurse Practitioner (Family)
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 488-2120

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 Nirali Patel's NPI number?

The NPI number for Nirali Patel is 1346772027. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Nirali Patel located?

Nirali Patel practices at 7300 S Raeford Rd, Fayetteville, NC 28304. The listed phone number is (910) 488-2120.

What is Nirali Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirali Patel enrolled in Medicare?

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

Which organization bills Medicare for Nirali Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirali Patel reassigns Medicare benefits to The Wright Center Medical Group (Scranton, PA). 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 Nirali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nirali Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nirali 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 Nirali Patel was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.