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MANISH NAVNITLAL PATEL MD
NPI 1558655936
Urology in Charlotte, NC

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1225 HARDING PL, STE 3100, CHARLOTTE, NC 28204(704) 355-8686 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 57 more (60 updates tracked since 2018).

About Manish Navnitlal Patel Md NPPES

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

MANISH NAVNITLAL PATEL MD (NPI 1558655936) is an individual urology provider in Charlotte, North Carolina, licensed in North Carolina (2015-01412) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1558655936
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMANISH NAVNITLAL PATELCredential: MD
Location Address1225 HARDING PL, STE 3100Charlotte, NC 28204-2826
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-8686
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2008
Enumeration DateJune 3, 2011
Last NPPES UpdateJuly 15, 202460 updates tracked since enumeration
✔ NPI 1558655936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 2015-01412
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1225 HARDING PL, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11021 Morehead Medical Dr, Ste 6100Charlotte, NC 28204-2990 · Phone (980) 442-2000
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 3441 McAlister Rd, Ste 1200Lincolnton, NC 28092-4126 · Phone (980) 212-6200
Location 41585 Forney Creek Pkwy, Ste 2350Denver, NC 28037-9514 · Phone (980) 212-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Manish Navnitlal 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.

PECOS PAC ID8820303720
PECOS Enrollment IDI20150821013372
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Manish Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority
Same address
Internal Medicine
1237 HARDING PL, STE 3300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1598135188 (704) 446-5860
Carolinas Medical Center
0.3 mi
Surgical Critical Care
1025 MOREHEAD MEDICAL DR, STE 500
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1699979732 (704) 347-4033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
99 services72 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.
92 services73 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
83 services69 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
66 services58 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.
48 services29 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,500 services$6.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MELISSA RENEE FLOOD NP
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8850
MARK J. MAKHULI MD
Urology
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8686
RONALDO CRUZ MAMARIL NP
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8850
ZAINAB SHAHID MD
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Mecklenburg County (704) 331-9669
MELISSA ANNE SCHRAMM NP
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8686
AJAL M DAVE MD
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Mecklenburg County (704) 377-9323
SAVANNA HANCOCK WATKINS PA
Physician Assistant
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8686
JASON JAMES LEWIS MD
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8850

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 Manish Patel's NPI number?

The NPI number for Manish Patel is 1558655936. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Manish Patel located?

Manish Patel practices at 1225 Harding Pl Ste 3100, Charlotte, NC 28204. The listed phone number is (704) 355-8686.

What is Manish Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Manish Patel enrolled in Medicare?

Yes. Manish 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 Manish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manish Patel reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). 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 Manish Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manish Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Manish 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 Manish Patel affiliated with any hospitals?

According to CMS data, Manish Patel is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health, Atrium Health Union, Atrium Health Lincoln and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Manish Patel was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.