DR. NIRAV B PATEL M.D.
NPI 1366471344
Specialist in Tampa, FL

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
2810 W WATERS AVE, TAMPA, FL 33614(813) 935-5501(813) 933-8784 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nirav B Patel M.d. NPPES

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

DR. NIRAV B PATEL M.D. (NPI 1366471344) is an individual specialist in Tampa, Florida, licensed in Florida (ME89093) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and is a graduate of Baylor College Of Medicine (2004).

NPPES Registry Identity

NPI1366471344
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. NIRAV B PATELCredential: M.D.
Location Address2810 W WATERS AVETampa, FL 33614-1853
Mailing Address2810 W Waters AveTampa, FL 33614-1853 · (813) 935-5501 · Fax (813) 933-8784
Fax(813) 933-8784
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2004
Enumeration DateJuly 1, 2006
Last NPPES UpdateJuly 9, 2008
NPI 1366471344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME89093
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2810 W WATERS AVE, Tampa, FL 33614

Other Identifiers 7

Medicare UPINI14782FL
Medicare PIN43057ZFL
Other43057FL · Bcbs
Other293425FL · Avmed
Other245543FL · Wellcare
OtherP00145966FL · Railroad Medicare
Medicaid269777700FL

Accepted 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

Dr. Nirav B 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 ID143297192
PECOS Enrollment IDI20040910000639
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 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,095 services326 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
649 services171 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
369 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
321 services182 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
284 services269 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100243
Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County
Emergency services Birthing friendly

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100259
Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
37%142 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,739 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%341 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%452 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%391 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
33%354 patients2/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%805 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
35%75 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
54%501 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
58%391 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers63 claims63 services$31.50 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers44 claims44 services$67.10 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers40 claims112 services$26.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers21 claims111 services$15.50 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers38 claims217 services$12.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers68 claims68 services$43.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2810 W WATERS AVE
TAMPA, FL 33614
Specialist
2810 W WATERS AVE
TAMPA, FL 33614
Nurse Practitioner (Primary Care)
2810 W WATERS AVE
TAMPA, FL 33614
Nurse Practitioner (Family)
2810 W WATERS AVE
TAMPA, FL 33614
Specialist
2810 W WATERS AVE
TAMPA, FL 33614
Specialist
2810 W WATERS AVE
TAMPA, FL 33614
Nurse Practitioner
2810 W WATERS AVE
TAMPA, FL 33614
Nurse Practitioner (Family)
2810 W WATERS AVE
TAMPA, FL 33614

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1366471344. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Nirav Patel located?

Nirav Patel practices at 2810 W Waters Ave, Tampa, FL 33614. The listed phone number is (813) 935-5501.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav 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 Nirav Patel accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Nirav 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.

Is Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Florida Hospital Carrollwood, St Josephs Hospital, Hca Florida Brandon Hospital and Hca Florida South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.