NEHAL DHIRENDRA PATEL M.D.
NPI 1619134152
Internal Medicine - Cardiovascular Disease in Lititz, PA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
90.99/100
CMS Quality Rating
1555 HIGHLANDS DR, LITITZ, PA 17543(717) 299-5000(717) 431-4310 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2021, Jan 16, 2021, Jul 3, 2017 (3 updates tracked since 2017).

About Nehal Dhirendra Patel M.d. NPPES

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

NEHAL DHIRENDRA PATEL M.D. (NPI 1619134152) is an individual cardiovascular disease provider in Lititz, Pennsylvania, licensed in Pennsylvania (MD436730) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2001).

NPPES Registry Identity

NPI1619134152
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNEHAL DHIRENDRA PATELCredential: M.D.
Location Address1555 HIGHLANDS DRLititz, PA 17543-2800
Mailing Address1555 Highlands Dr Ste 100Lititz, PA 17543-2800
Fax(717) 431-4310
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2001
Enumeration DateMay 21, 2008
Last NPPES UpdateApril 15, 20213 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
NPI 1619134152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD436730
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1555 HIGHLANDS DR, Lititz, PA 17543

Other Identifiers 1

Medicaid102279489PA

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

Nehal Dhirendra Patel M.d. 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 ID5395898225
PECOS Enrollment IDI20090724000470
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 25

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
560 services319 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
163 services130 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
161 services161 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
147 services136 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
124 services103 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
120 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17543 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

90.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1555 HIGHLANDS DR, SUITE 180
LITITZ, PA 17543
Optometrist
1555 HIGHLANDS DR, SUITE 180
LITITZ, PA 17543
Dentist
1555 HIGHLANDS DR, SUITE 190
LITITZ, PA 17543
Dentist
1555 HIGHLANDS DR, SUITE 190
LITITZ, PA 17543
Dentist
1555 HIGHLANDS DR, SUITE 108
LITITZ, PA 17543
Social Worker (Clinical)
1555 HIGHLANDS DR
LITITZ, PA 17543
Optometrist
1555 HIGHLANDS DR
LITITZ, PA 17543

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 Nehal Patel's NPI number?

The NPI number for Nehal Patel is 1619134152. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Nehal Patel located?

Nehal Patel practices at 1555 Highlands Dr, Lititz, PA 17543. The listed phone number is (717) 299-5000.

What is Nehal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nehal Patel enrolled in Medicare?

Yes. Nehal 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.

Is Nehal Patel affiliated with any hospitals?

According to CMS data, Nehal Patel is affiliated with Upmc Pinnacle Hospitals, Upmc Lititz and Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Nehal Patel was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.