Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MILAN VILAS PATEL DO
NPI 1578023206
Emergency Medicine in Worcester, MA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(508) 421-1401(508) 421-1490 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, Aug 9, 2025, May 5, 2022 and 2 more (5 updates tracked since 2019).

About Milan Vilas Patel Do NPPES

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

MILAN VILAS PATEL DO (NPI 1578023206) is an individual emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1023629) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578023206
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMILAN VILAS PATELCredential: DO
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690 · (617) 414-5405
Fax(508) 421-1490
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateSeptember 17, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1578023206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MA · 1023629✔ Licensed in NY · 316669
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Locations 3

Location 11 Boston Medical Ctr Pl Fl Place1Boston, MA 02118-2908 · Phone (617) 414-5481
Location 2300 Community DrManhasset, NY 11030-3876 · Phone (516) 562-4506
Location 327005 76th AveNew Hyde Park, NY 11040-1496 · Phone (718) 470-7501

Other Identifiers 1

Medicaid110221482AMA

Accepted 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

Milan Vilas Patel Do 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 ID1355678707
PECOS Enrollment IDI20220817002831, I20250815002804
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 Milan Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1 BOSTON MEDICAL CTR PL, BCD 1ST FLOOR
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 69 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
237 services232 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services54 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services47 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
23 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Milan Patel's NPI number?

The NPI number for Milan Patel is 1578023206. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Milan Patel located?

Milan Patel practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 421-1401.

What is Milan Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Milan Patel enrolled in Medicare?

Yes. Milan 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 Milan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milan Patel reassigns Medicare benefits to 2 organizations: Boston Emergency Physician Foundation, Inc. (Boston, MA) and North Shore-Lij Medical PC (Great Neck, NY). 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 Milan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milan Patel accept?

Health plans from WellSense Health Plan list Milan 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 Milan Patel affiliated with any hospitals?

According to CMS data, Milan Patel is affiliated with Boston Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Milan Patel was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.