NISHAL PATEL
NPI 1457739807
Dentist - General Practice in Ashburn, VA

Active since May 18, 2015Opted out of Medicare · through Jul 7, 2028
44345 PREMIER PLZ, SUITE 220, ASHBURN, VA 20147(703) 729-6222 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Nishal Patel NPPES

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

NISHAL PATEL (NPI 1457739807) is an individual general practice provider in Ashburn, Virginia, licensed in Virginia (0401415162) and active in the NPI registry since May 2015. She has opted out of Medicare through July 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457739807
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNISHAL PATEL
Location Address44345 PREMIER PLZ, SUITE 220Ashburn, VA 20147-5053
Mailing Address44345 Premier Plz, Suite 220Ashburn, VA 20147-5053 · (703) 729-6222
Sole ProprietorNo
Enumeration DateMay 18, 2015
Last NPPES UpdateJuly 1, 2016
NPI 1457739807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401415162
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
44345 PREMIER PLZ, Ashburn, VA 20147

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nishal Patel has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 7, 2016 through July 7, 2028.

Opt-Out Effective DateJuly 7, 2016
Opt-Out In Effect ThroughJuly 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 6

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

Dentist
44345 PREMIER PLZ, SUITE 230
ASHBURN, VA 20147
Optometrist
44345 PREMIER PLZ, SUITE 100
ASHBURN, VA 20147
Clinic/Center (Dental)
44345 PREMIER PLZ, SUITE 140
ASHBURN, VA 20147
Clinic/Center (Medical Specialty)
44345 PREMIER PLZ, SUITE # 100
ASHBURN, VA 20147
Dentist (Prosthodontics)
44345 PREMIER PLZ, SUITE 220
ASHBURN, VA 20147
Dentist (General Practice)
44345 PREMIER PLZ, SUITE 230
ASHBURN, VA 20147

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 Nishal Patel's NPI number?

The NPI number for Nishal Patel is 1457739807. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Nishal Patel located?

Nishal Patel practices at 44345 Premier Plz Suite 220, Ashburn, VA 20147. The listed phone number is (703) 729-6222.

What is Nishal Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nishal Patel enrolled in Medicare?

No. Nishal Patel has opted out of Medicare through July 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nishal Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Nishal 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 Nishal Patel was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.