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VINAY MANILAL PATEL M.D.
NPI 1477764744
Internal Medicine - Endocrinology, Diabetes & Metabolism in Neenah, WI

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2025, Aug 20, 2024, Jan 12, 2023 and 2 more (5 updates tracked since 2016).

About Vinay Manilal Patel M.d. NPPES

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

VINAY MANILAL PATEL M.D. (NPI 1477764744) is an individual endocrinology, diabetes & metabolism provider in Neenah, Wisconsin, licensed in Wisconsin (101894) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477764744
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameVINAY MANILAL PATELCredential: M.D.
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 358-1223 · Fax (920) 358-1224
Phone(920) 358-1223
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 25, 2007
Last NPPES UpdateDecember 12, 20255 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1477764744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WI · 101894✔ Licensed in IL · 036139457✔ Licensed in FL · ME155327
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036139457 (IL), 25374 (WV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
130 2ND ST, Neenah, WI 54956
Open in Google Maps ↗

Other Names 1

Other Name (5)Vinay M Patel

Secondary Practice Locations 3

Location 14340 Newberry Rd Ste 301Gainesville, FL 32607-2557 · Phone (352) 372-9414 · Fax (352) 271-5393
Location 2755 W Johnson StFond Du Lac, WI 54935-2089 · Phone (920) 731-8900 · Fax (920) 738-5369
Location 380 Templeton DrOswego, IL 60543-7000 · Phone (630) 554-3456 · Fax (630) 551-2933

Other Identifiers 2

Other4958336FL · Aetna
OtherZR4QEFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Vinay Manilal 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 ID5799929964
PECOS Enrollment IDI20241010003701
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

3

Medicare enrollment records show Vinay Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thedacare, Incorporated
3.2 mi
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1306959515 (920) 720-2300
Froedtert Manitowoc Medical Group, LLC
39 mi
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
NPI 1437829975 (920) 320-2436
Accent Physician Specialists, P.A.
1,018 mi
Otolaryngology/Facial Plastic Surgery
2086 SW MAIN BLVD STE 103
Lake City, FL 32025
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1376970731 (352) 372-9414

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 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,080 services17 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.
389 services304 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.
136 services118 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
97 services25 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
91 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients

Hospital Affiliations CMS Care Compare 5

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers37 claims455 services$18.89 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers36 claims1,188 services$2.17 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers68 claims171 services$6.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers18 claims28 services$1.15 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers30 claims3,000 services$6.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
21 suppliers590 claims592 services$184.46 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 20

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

JENNIFER MARIE KETTERHAGEN PHARMD
Pharmacist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 454-5080
JAMES P MANDERLE MD
Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
ALLISON A HOELZEL OT
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-2616
ELIZABETH BONSON PT
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-2155
SARAH M MARTIN
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 454-2973
JUSTIN EISBERNER
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-3100
DR. ERIK VERHAGE MD
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 969-7900
ALYSSA ANN ROTZENBERG
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-3100

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 Vinay Patel's NPI number?

The NPI number for Vinay Patel is 1477764744. It was assigned to this individual provider in the NPPES registry on May 25, 2007. The provider is also known as Vinay M Patel.

Where is Vinay Patel located?

Vinay Patel practices at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 358-1223.

What is Vinay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Vinay Patel enrolled in Medicare?

Yes. Vinay 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 Vinay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vinay Patel reassigns Medicare benefits to 3 organizations: Thedacare, Incorporated (Menasha, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI) and Accent Physician Specialists, P.A. (Lake City, FL). 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 Vinay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vinay Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Vinay 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 Vinay Patel affiliated with any hospitals?

According to CMS data, Vinay Patel is affiliated with Thedacare Regional Med Ctr - Neenah, Holy Family Memorial, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Vinay Patel was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.