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NIRAV PATEL M.D.
NPI 1457769218
Emergency Medicine in Hazard, KY

Active since July 24, 2014PECOS EnrolledAccepts Medicare Assignment
750 MORTON BLVD, HAZARD, KY 41701(606) 439-6600 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nirav Patel M.d. NPPES

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

NIRAV PATEL M.D. (NPI 1457769218) is an individual emergency medicine provider in Hazard, Kentucky, licensed in Kentucky (50755) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Stephens County Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457769218
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNIRAV PATELCredential: M.D.
Location Address750 MORTON BLVDHazard, KY 41701-9469
Mailing Address750 Morton BlvdHazard, KY 41701 · (606) 439-3557
Phone(606) 439-6600
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 24, 2014
Last NPPES UpdateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1457769218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 50755
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License R3584 (KY)
750 MORTON BLVD, Hazard, KY 41701
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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

Nirav 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 ID1052624848
PECOS Enrollment IDI20200106001891
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

2

Medicare enrollment records show Nirav Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston County Emergency Group, LLC
323 mi
Emergency Medicine
1601 WATSON BLVD
Warner Robins, GA 31093
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1013338193 (478) 922-4281
Acs Primary Care Physicians - Southeast PC
346 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
173 services156 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
112 services99 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Stephens County Hospital

Acute Care Hospitals · Toccoa, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110032
Location163 Hospital DriveToccoa, GA 30577 · Stephens County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

DR. SHERRY SLONE DMD
Dentist (Dental Public Health)
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559
DANIEL HOLT D.O.
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-3557
ZACHARY AARON COMBS
Student in an Organized Health Care Education/Training Program
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559
HARMAN ANTAAL MBBS, MD
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-3557
MS. ROBYN GAIL NAPIER LCSW
Social Worker (Clinical)
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 493-1559
NURUDDIN HUSEIN DO
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559
COREY AUSTIN BENTLEY DMD
Dentist (General Practice)
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-3557
NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559

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 1457769218. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Nirav Patel located?

Nirav Patel practices at 750 Morton Blvd, Hazard, KY 41701. The listed phone number is (606) 439-6600.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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.

Which organizations bill Medicare for Nirav Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirav Patel reassigns Medicare benefits to 2 organizations: Houston County Emergency Group, LLC (Warner Robins, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). 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 Nirav Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Stephens County Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.