ARPAN PATEL NURSE PRACTITIONER
NPI 1386140572
Nurse Practitioner - Family in Sterling Heights, MI

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
37303 TERICREST DR, STERLING HEIGHTS, MI 48310(586) 978-2484 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Arpan Patel Nurse Practitioner NPPES

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

ARPAN PATEL NURSE PRACTITIONER (NPI 1386140572) is an individual family provider in Sterling Heights, Michigan, licensed in Michigan (4704296083) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1386140572
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameARPAN PATELCredential: NURSE PRACTITIONER
Location Address37303 TERICREST DRSterling Heights, MI 48310
Mailing Address29984 Telegraph Rd Unit ASouthfield, MI 48034-1355 · (248) 357-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2018
Last NPPES UpdateAugust 1, 2018
✔ NPI 1386140572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704296083
37303 TERICREST DR, Sterling Heights, MI 48310

Secondary Practice Location 1

Location 137303 Tericrest DrSterling Heights, MI 48310-3960 · Phone (586) 978-2484

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Arpan Patel Nurse Practitioner 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 ID648514927
PECOS Enrollment IDI20181128001707
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 Reassignments

10

Medicare enrollment records show Arpan Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
39880 VAN DYKE AVE STE 202
Sterling Heights, MI 48313
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
4080 CROOKS RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 68 clinicians in this Medicare group
Urgent Care
2446 ELIZABETH LAKE RD
Waterford, MI 48328
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
Urgent Care
17100 SILVER PKWY STE B
Fenton, MI 48430
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
Clinic/Center
1255 E GRAND RIVER AVE
Howell, MI 48843
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
Vascular & Interventional Radiology
140 S INDUSTRIAL DR
Saline, MI 48176
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
General Practice
218 W MAIN ST STE 100
Flushing, MI 48433
  • Reassigned Medicare billing, Michigan enrollment
  • 328 clinicians in this Medicare group
Urgent Care
505 W CLEVELAND RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Michigan enrollment
  • 93 clinicians in this Medicare group
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Michigan enrollment
  • 22 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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48310 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

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 Arpan Patel's NPI number?

The NPI number for Arpan Patel is 1386140572. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Arpan Patel located?

Arpan Patel practices at 37303 Tericrest Dr, Sterling Heights, MI 48310. The listed phone number is (586) 978-2484.

What is Arpan Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Arpan Patel enrolled in Medicare?

Yes. Arpan 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 organizations bill Medicare for Arpan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arpan Patel reassigns Medicare benefits to 10 organizations: Visiting Wound Specialists & Primary Care PLLC (Sterling Heights, MI), Royal Urgent Care, PLLC (Royal Oak, MI), Elizabeth Lake Urgent Care PLLC (Waterford, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI), Flash Care PLLC (Fenton, MI) and 5 more organizations, listed in the Medicare section above. Each 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 Arpan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arpan Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Arpan 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 Arpan Patel affiliated with any hospitals?

According to CMS data, Arpan Patel is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Arpan Patel was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.