NISHANT KETAN PATEL MD
NPI 1518699446
Internal Medicine in Philadelphia, PA
About Nishant Ketan Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISHANT KETAN PATEL MD (NPI 1518699446) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA13051000) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Nishant Ketan 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nishant Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Wood Johnson University Hospital
Acute Care Hospitals · New Brunswick, NJMontefiore Medical Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Nishant Patel's NPI number?
The NPI number for Nishant Patel is 1518699446. It was assigned to this individual provider in the NPPES registry on June 29, 2022.
Where is Nishant Patel located?
Nishant Patel practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.
What is Nishant Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nishant Patel enrolled in Medicare?
Yes. Nishant 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 Nishant Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Patel reassigns Medicare benefits to 3 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Montefiore Medical Center (New York, NY). 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 Nishant Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nishant Patel accept?
Health plans from Oscar Health list Nishant 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 Nishant Patel affiliated with any hospitals?
According to CMS data, Nishant Patel is affiliated with Robert Wood Johnson University Hospital and Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Nishant Patel was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nishant Ketan Patel, MD · NPI 1518699446
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 29, 2022.
## Identity
- **NPI:** 1518699446 (Entity type: Individual)
- **Enumerated:** June 29, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA13051000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5189
- **Phone:** (800) 836-7536
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Montefiore Medical Center (NPI 1760288278, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1518699446) · Data from the CMS NPPES public registry.