NISHI PATEL M.D. NPI 1568857746

Internal Medicine in Newark, OH

NPI 1568857746 Individual Female Years of Experience 7 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About NISHI PATEL

Nishi Patel is an internal medicine provider established in Newark, Ohio and her medical specialization is internal medicine with more than 7 years of experience. She graduated from University Of Kentucky College Of Medicine in 2015. The NPI number of Nishi Patel is 1568857746 and was assigned on April 2015. The practitioner's primary taxonomy code is 207R00000X with license number 35.134557 (OH). The provider is registered as an individual and her NPI record was last updated one year ago.

An internist like Nishi Patel M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Nishi Patel is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Nishi Patel is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Licking Memorial Hospital.

NPI

1568857746

Provider Name NISHI PATEL M.D.
Provider Location Address120 MCMILLEN DR NEWARK, OH 43055
Provider Mailing Address120 MCMILLEN DR NEWARK, OH 43055
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year2015
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-03-2015
Last Update Date03-18-2021


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.35.134557
License StateOH
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

NISHI PATEL M.D.
120 MCMILLEN DR
NEWARK, OH
ZIP 43055
Phone: (220) 564-4814
Fax: (220) 564-4815

Get Directions


Mailing Address

NISHI PATEL M.D.
120 MCMILLEN DR
NEWARK, OH
ZIP 43055
Phone: (220) 564-4814
Fax: (220) 564-4815



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2264742816
PECOS Enrollment IDI20181102001887
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nishi Patel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LICKING MEMORIAL HOSPITAL1320 WEST MAIN STREET
NEWARK, OH 43055
(220) 564-4000Acute Care Hospitals360218

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023017860DR. MARK MITCHELL MD
Individual
Internal Medicine120 MCMILLEN DR
NEWARK, OH 43055
(740) 348-4814
1740289941DR. GERALD EHRSAM MD
Individual
Internal Medicine120 MCMILLEN DR
NEWARK, OH 43055
(740) 348-4806
1003005034 MISTI D. STAGGERS CNP
Individual
Clinical Nurse Specialist (Gerontology)120 MCMILLEN DR
NEWARK, OH 43055
(740) 348-7935
1174782775 DARIA J HOPKINS MD
Individual
Internal Medicine120 MCMILLEN DR
NEWARK, OH 43055
(220) 564-7935
1588007017MRS. NINA POLA HOURMOUZIS M.D.
Individual
Internal Medicine120 MCMILLEN DR
NEWARK, OH 43055
(220) 564-4806
1871813691DR. EVEN FENGYUAN WANG M.D.
Individual
Psychiatry & Neurology (Neurology)120 MCMILLEN DR
NEWARK, OH 43055
(220) 564-7985
1730109166LICKING MEMORIAL PROFESSIONAL CORP
Organization
Internal Medicine120 MCMILLEN DR
NEWARK, OH 43055
(740) 348-4800
1649290073LICKING MEMORIAL PROFESSIONAL CORP.
Organization
Internal Medicine (Geriatric Medicine)120 MCMILLEN DR
NEWARK, OH 43055
(740) 348-7935
1891051959 SARAH LAUREN LIM
Individual
Internal Medicine120 MCMILLEN DR
NEWRK, OH 43055
(220) 564-4800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.