DR. NIKIL A PATEL O.D.
NPI 1528119245
Optometrist in Atlanta, GA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
2900 CUMBERLAND MALL SE, ATLANTA, GA 30339(770) 431-1713(770) 431-1714 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nikil A Patel O.d. NPPES

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

DR. NIKIL A PATEL O.D. (NPI 1528119245) is an individual optometrist in Atlanta, Georgia, licensed in Georgia (OPT002180) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2004).

NPPES Registry Identity

NPI1528119245
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NIKIL A PATELCredential: O.D.
Location Address2900 CUMBERLAND MALL SEAtlanta, GA 30339-8107
Mailing Address4688 Prater Way SeSmyrna, GA 30080-9259 · (404) 983-8420 · Fax (770) 431-1714
Fax(770) 431-1714
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2004
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 2, 2014
NPI 1528119245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in GA · OPT002180 Licensed in GA · 002180 Licensed in IN · 18003283A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2900 CUMBERLAND MALL SE, Atlanta, GA 30339

Other Identifiers 2

Medicare UPINV04135GA
Medicare PIN41ZSCFSXGA

Accepted 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. Nikil A Patel O.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 ID4385699966
PECOS Enrollment IDI20050316000636
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 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,711 services12 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.
198 services182 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services40 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.
33 services33 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
30 services29 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 10

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

Pharmacist
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Pharmacy (Community/Retail Pharmacy)
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Optometrist
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Optometrist
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Pharmacist
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Hearing Aid Equipment
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Pharmacist
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Optometrist
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339

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 Nikil Patel's NPI number?

The NPI number for Nikil Patel is 1528119245. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Nikil Patel located?

Nikil Patel practices at 2900 Cumberland Mall SE, Atlanta, GA 30339. The listed phone number is (770) 431-1713.

What is Nikil Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nikil Patel enrolled in Medicare?

Yes. Nikil 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 Nikil Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Nikil 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.

When was this NPI record last updated?

The NPPES record for Nikil Patel was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.