DR. PRIYA P PATEL DPM
NPI 1609396506
Podiatrist - Foot & Ankle Surgery in Milwaukee, WI
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, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Priya Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Community Hospital West Bend
Acute Care Hospitals · West Bend, WICommunity Memorial Hospital
Acute Care Hospitals · Menomonee Falls, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIMedicare 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.
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.
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.
Which organization bills Medicare for Priya Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI). The 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 Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and 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.
Is Priya Patel affiliated with any hospitals?
According to CMS data, Priya Patel is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.
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 12 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.
# Dr. Priya P Patel, DPM · NPI 1609396506
Foot & Ankle Surgery provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since June 21, 2017.
## Identity
- **NPI:** 1609396506 (Entity type: Individual)
- **Enumerated:** June 21, 2017
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 1205-25 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1271 N 6TH ST, Milwaukee, WI 53212-3360
- **Phone:** (414) 978-9100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609396506) · Data from the CMS NPPES public registry.