1. Home
  2. Directory
  3. Idaho
  4. Nampa
  5. Internal Medicine
  6. NPI Profile

DR. SUGAT K PATEL M.D.
NPI 1518947233
Internal Medicine - Infectious Disease in Nampa, ID

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
90.27/100
CMS Quality Rating
4424 E FLAMINGO AVE STE 210, NAMPA, ID 83687(208) 302-5467(208) 302-5495 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 7, 2024, Sep 5, 2024, Nov 6, 2020 (3 updates tracked since 2020).

About Dr. Sugat K Patel M.d. NPPES

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

DR. SUGAT K PATEL M.D. (NPI 1518947233) is an individual infectious disease provider in Nampa, Idaho, licensed in Idaho (9461379) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mckenzie-willamette Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518947233
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SUGAT K PATELCredential: M.D.
Location Address4424 E FLAMINGO AVE STE 210Nampa, ID 83687-9291
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Phone(208) 302-5467
Fax(208) 302-5495
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1518947233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in ID · 9461379✔ Licensed in OR · MD29319
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
4424 E FLAMINGO AVE STE 210, Nampa, ID 83687
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3200 · Fax (937) 723-3277
Location 23640 NW Samaritan Dr Ste 210Corvallis, OR 97330-3787 · Phone (541) 768-5810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, CareSource, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sugat K 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 ID7810996451
PECOS Enrollment IDI20090729000480
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.

Areas of Expertise CMS Part B claims

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.

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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380020
Location1460 G StreetSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

90.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.22
Promoting Interoperability100
Improvement Activities40
Cost66.95

Other Providers at the Same Location NPPES 2

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

KARSON FAWCETT KALIAN DO
Internal Medicine (Pulmonary Disease)
4424 E FLAMINGO AVE STE 210
NAMPA, ID 83687
Canyon County (208) 302-2000
DR. PAUL SARKARIA DO
Internal Medicine (Pulmonary Disease)
4424 E FLAMINGO AVE STE 210
NAMPA, ID 83687
Canyon County (208) 302-2000

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 Sugat Patel's NPI number?

The NPI number for Sugat Patel is 1518947233. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Sugat Patel located?

Sugat Patel practices at 4424 E Flamingo Ave Ste 210, Nampa, ID 83687. The listed phone number is (208) 302-5467.

What is Sugat Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sugat Patel enrolled in Medicare?

Yes. Sugat 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.

What insurance does Sugat Patel accept?

Health plans from BridgeSpan Health Company, CareSource, Moda Health Plan, Inc., Molina Healthcare and Providence Health Plan and 1 other insurer list Sugat 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 Sugat Patel affiliated with any hospitals?

According to CMS data, Sugat Patel is affiliated with Mckenzie-Willamette Medical Center and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Sugat Patel was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.