DR. NIMESH K PATEL M.D
NPI 1538493754
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Richmond, VA

Active since September 21, 2009PECOS EnrolledAccepts Medicare Assignment
81.88/100
CMS Quality Rating
7001 FOREST AVE STE 200, RICHMOND, VA 23230(804) 288-3123(804) 282-3322 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 7, 2025, Oct 25, 2023 (2 updates tracked since 2023).

About Dr. Nimesh K Patel M.d NPPES

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

DR. NIMESH K PATEL M.D (NPI 1538493754) is an individual advanced heart failure and transplant cardiology provider in Richmond, Virginia, licensed in Virginia (0101259584) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1538493754
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. NIMESH K PATELCredential: M.D
Location Address7001 FOREST AVE STE 200Richmond, VA 23230-1726
Mailing AddressPo Box 639994Cincinnati, OH 45263-9994
Fax(804) 282-3322
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 21, 2009
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1538493754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in VA · 0101259584
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT194768 (PA), MD450636 (PA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License TRN22059 (FL), 0101259584 (VA)
7001 FOREST AVE STE 200, Richmond, VA 23230

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. Nimesh 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 ID9537474630
PECOS Enrollment IDI20160829001830
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,140 services942 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.
275 services153 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
189 services188 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.
173 services97 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.
98 services98 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
92 services89 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23230 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.

81.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Promoting Interoperability100
Improvement Activities40
Cost64.69

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%232 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
7001 FOREST AVE STE 200
RICHMOND, VA 23230
Internal Medicine (Cardiovascular Disease)
7001 FOREST AVE STE 200
RICHMOND, VA 23230
Internal Medicine (Interventional Cardiology)
7001 FOREST AVE STE 200
RICHMOND, VA 23230
Nurse Practitioner (Acute Care)
7001 FOREST AVE STE 200
RICHMOND, VA 23230
Nurse Practitioner (Acute Care)
7001 FOREST AVE STE 200
RICHMOND, VA 23230
Nurse Practitioner (Acute Care)
7001 FOREST AVE STE 200
RICHMOND, VA 23230

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 Nimesh Patel's NPI number?

The NPI number for Nimesh Patel is 1538493754. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Nimesh Patel located?

Nimesh Patel practices at 7001 Forest Ave Ste 200, Richmond, VA 23230. The listed phone number is (804) 288-3123.

What is Nimesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Nimesh Patel enrolled in Medicare?

Yes. Nimesh 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.

Is Nimesh Patel affiliated with any hospitals?

According to CMS data, Nimesh Patel is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Bon Secours Richmond Community Hospital, Community Memorial Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Nimesh Patel was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.