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NISHITH RAJESHBHAI PATEL MD
NPI 1518209303
Internal Medicine in Virginia Beach, VA

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456(757) 507-4123(757) 716-3976 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 29, 2020, May 5, 2020, Feb 12, 2020 (3 updates tracked since 2020).

About Nishith Rajeshbhai Patel Md NPPES

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

NISHITH RAJESHBHAI PATEL MD (NPI 1518209303) is an individual internal medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101268768) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and maintains a secondary practice location in Pinehurst.

NPPES Registry Identity

NPI1518209303
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNISHITH RAJESHBHAI PATELCredential: MD
Location Address2025 GLENN MITCHELL DRVirginia Beach, VA 23456-0178
Mailing Address2025 Glenn Mitchell DrVirginia Beach, VA 23456-0178 · (757) 507-4123 · Fax (757) 716-3976
Phone(757) 507-4123
Fax(757) 716-3976
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 20, 2013
Last NPPES UpdateDecember 29, 20233 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
✔ NPI 1518209303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0101268768✔ Licensed in NC · 201601718
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 0101268768 (VA), 201601718 (NC)
2025 GLENN MITCHELL DR, Virginia Beach, VA 23456
Open in Google Maps ↗

Secondary Practice Location 1

Location 1155 Memorial DrPinehurst, NC 28374-8710 · Phone (910) 715-1000

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

Nishith Rajeshbhai Patel Md 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 ID8729373980
PECOS Enrollment IDI20200612001870
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 Reassignment

Medicare enrollment records show Nishith Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sentara Medical Group
8.0 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

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 7

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.
692 services257 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
224 services214 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.
155 services93 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.
108 services104 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.
63 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
51 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23456 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

CLOTILDE JORGINA RAMOS FNP-C
Nurse Practitioner (Family)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
AKSHAY CHAUDHARI MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
MELODY CRYSTAL HANSON OTR/L
Occupational Therapist (Physical Rehabilitation)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
DR. MARK TAYLOR VAUGHAN MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
TAYLOR CADDELL DO
Emergency Medicine
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
DR. ADAM CHRISTOPHER HUGHES DO
Hospitalist
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-4123
HILINA GEMEDA MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
SANDHYA GUPTA MD
Internal Medicine
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-4123

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 Nishith Patel's NPI number?

The NPI number for Nishith Patel is 1518209303. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Nishith Patel located?

Nishith Patel practices at 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456. The listed phone number is (757) 507-4123.

What is Nishith Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nishith Patel enrolled in Medicare?

Yes. Nishith 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 organization bills Medicare for Nishith Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishith Patel reassigns Medicare benefits to Sentara Medical Group (Norfolk, VA). The 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 Nishith Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nishith Patel affiliated with any hospitals?

According to CMS data, Nishith Patel is affiliated with Sentara Leigh Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Nishith Patel was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.