DR. NIRAV PATEL DPM
NPI 1538658349
Podiatrist in Philadelphia, PA

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
51 N 39TH ST # 211, PHILADELPHIA, PA 19104(215) 662-9664 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 3, 2023, May 7, 2018 (2 updates tracked since 2018).

About Dr. Nirav Patel Dpm NPPES

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

DR. NIRAV PATEL DPM (NPI 1538658349) is an individual podiatrist in Philadelphia, Pennsylvania, licensed in Virginia (0103301362) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Cjw Medical Center, and is a graduate of Barry University School Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1538658349
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. NIRAV PATELCredential: DPM
Location Address51 N 39TH ST # 211Philadelphia, PA 19104-2640
Mailing Address51 N 39th St # 211Philadelphia, PA 19104-2640 · (215) 662-9664
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2018
Enumeration DateMay 7, 2018
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1538658349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in VA · 0103301362
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 0103301362 (VA)
51 N 39TH ST # 211, Philadelphia, PA 19104

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. Nirav Patel Dpm 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 ID840668992
PECOS Enrollment IDI20221121001165
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 21

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.

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.
604 services355 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
412 services179 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
387 services169 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
316 services146 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
201 services134 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
194 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1538658349. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Nirav Patel located?

Nirav Patel practices at 51 N 39th St # 211, Philadelphia, PA 19104. The listed phone number is (215) 662-9664.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav 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 Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Cjw Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.