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DR. NIRAV RAJANIKANT PATEL MD
NPI 1588017537
Family Medicine in Pickerington, OH

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
1010 REFUGEE RD, PICKERINGTON, OH 43147(614) 566-8883(614) 566-8149 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 29, 2026, Sep 10, 2024, Jul 18, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Nirav Rajanikant Patel Md NPPES

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

DR. NIRAV RAJANIKANT PATEL MD (NPI 1588017537) is an individual family medicine provider in Pickerington, Ohio, licensed in Ohio (35.137093) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588017537
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIRAV RAJANIKANT PATELCredential: MD
Location Address1010 REFUGEE RDPickerington, OH 43147-9653
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 566-8883
Fax(614) 566-8149
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 14, 2016
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1588017537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.137093
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 35.137093 (OH)
1010 REFUGEE RD, Pickerington, OH 43147
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Rajanikant 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 ID4981990009
PECOS Enrollment IDI20190822003906
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 9

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.

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.
234 services116 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
99 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
90 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services49 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43147 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.55
Improvement Activities40
Cost60.73

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$20.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$116.69 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.

ALEXANDRA MALSCH
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
KATHERINE THERESE GRAEBEL MD
Hospitalist
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MEGAN ELIZABETH VANLANDINGHAM PA
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MICHAEL WILLIAM TEMPELHOF MD
Internal Medicine (Cardiovascular Disease)
1010 REFUGEE RD, 3RD FLOOR, SUITE 310
PICKERINGTON, OH 43147
Fairfield County (614) 533-5000
MR. KALEB MICHAEL PEREZ PA
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MELISSA SHIGEYO MOON CNP
Nurse Practitioner (Family)
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 788-4000
DR. CALEB THOMAS WAGNER M.D.
Hospitalist
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MRS. SARAH KATHERINE WEST CNP
Nurse Practitioner (Acute Care)
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 788-4000

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 1588017537. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Nirav Patel located?

Nirav Patel practices at 1010 Refugee Rd, Pickerington, OH 43147. The listed phone number is (614) 566-8883.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

What insurance does Nirav Patel accept?

Health plans from CareSource list Nirav 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 Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Grant Medical Center and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.