DR. PRIYA P PATEL DPM
NPI 1609396506
Podiatrist - Foot & Ankle Surgery in Milwaukee, WI

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
75.83/100
CMS Quality Rating
1271 N 6TH ST, MILWAUKEE, WI 53212(414) 978-9100 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Aug 2, 2022, Jun 6, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Priya P Patel Dpm NPPES

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

DR. PRIYA P PATEL DPM (NPI 1609396506) is an individual foot & ankle surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (1205-25) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609396506
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PRIYA P PATELCredential: DPM
Location Address1271 N 6TH STMilwaukee, WI 53212-3360
Mailing Address1271 N 6th StMilwaukee, WI 53212-3360 · (414) 978-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 21, 2017
Last NPPES UpdateOctober 9, 20256 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1609396506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in WI · 1205-25
1271 N 6TH ST, Milwaukee, WI 53212

Other Names 1

Professional Name (2)Dr. Priya Patel Dpm

Accepted 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. Priya P 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 ID7719256767
PECOS Enrollment IDI20221013002711
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 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.

75.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.66
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.

Podiatrist (Foot & Ankle Surgery)
1271 N 6TH ST
MILWAUKEE, WI 53212
Physical Therapist
1271 N 6TH ST
MILWAUKEE, WI 53212
Physical Therapist
1271 N 6TH ST
MILWAUKEE, WI 53212
Nurse Practitioner (Family)
1271 N 6TH ST
MILWAUKEE, WI 53212
Physical Therapist
1271 N 6TH ST
MILWAUKEE, WI 53212
Physical Therapist
1271 N 6TH ST
MILWAUKEE, WI 53212
Physical Therapist
1271 N 6TH ST
MILWAUKEE, WI 53212
Physical Therapist (Orthopedic)
1271 N 6TH ST
MILWAUKEE, WI 53212

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1609396506. It was assigned to this individual provider in the NPPES registry on June 21, 2017. The provider is also known as Dr. Priya Patel Dpm.

Where is Priya Patel located?

Priya Patel practices at 1271 N 6th St, Milwaukee, WI 53212. The listed phone number is (414) 978-9100.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Priya Patel enrolled in Medicare?

Yes. Priya 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 Priya Patel accept?

Health plans from Network Health list Priya 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.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.