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DR. RAJ B PATEL M.D.
NPI 1669817656
Emergency Medicine in Boulder City, NV

Active since May 03, 2013PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
901 ADAMS BLVD, BOULDER CITY, NV 89005(702) 293-4111 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Feb 19, 2021 (2 updates tracked since 2021).

About Dr. Raj B Patel M.d. NPPES

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

DR. RAJ B PATEL M.D. (NPI 1669817656) is an individual emergency medicine provider in Boulder City, Nevada, licensed in Nevada (18149) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1669817656
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RAJ B PATELCredential: M.D.
Location Address901 ADAMS BLVDBoulder City, NV 89005-2299
Mailing Address2740 Josephine DrHenderson, NV 89044-0307
Phone(702) 293-4111
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 3, 2013
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1669817656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NV · 18149✔ Licensed in AZ · 62294
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License R3387 (KY), 62294 (AZ)
901 ADAMS BLVD, Boulder City, NV 89005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Molina Healthcare.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. Raj B 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 ID7517273303
PECOS Enrollment IDI20160815002133, I20190304002754
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 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.
442 services422 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.
137 services137 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services41 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

South Lyon Medical Center

Critical Access Hospitals · Yerington, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number291314
Location213 S Whitacre/Po Box 940Yerington, NV 89447 · Lyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89005 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 18

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

DOUGLAS FRANKLIN THOMPSON M.D.
Emergency Medicine
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-4111
HOOVER EMERGENCY PHYSICIANS LLC
Emergency Medicine
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (954) 939-5000
JANICE-MARIE DILLON
Social Worker (Clinical)
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (773) 865-5069
BOULDER CITY HOSPITAL INC
General Acute Care Hospital (Critical Access)
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-4111
BOULDER CITY HOSPITAL INC.
General Acute Care Hospital (Critical Access)
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-4111
BOULDER CITY HOSPITAL INC.
Psychiatric Unit
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-4111
STARFIELD EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (469) 401-2386
ALLISON PALMER CNP
Nurse Practitioner (Psychiatric/Mental Health)
901 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (801) 815-1451

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 Raj Patel's NPI number?

The NPI number for Raj Patel is 1669817656. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Raj Patel located?

Raj Patel practices at 901 Adams Blvd, Boulder City, NV 89005. The listed phone number is (702) 293-4111.

What is Raj Patel's specialty?

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

Is Raj Patel enrolled in Medicare?

Yes. Raj 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 Raj Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Molina Healthcare list Raj 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 Raj Patel affiliated with any hospitals?

According to CMS data, Raj Patel is affiliated with Jewish Hospital & St Mary's Healthcare, Baptist Health Paducah, Lake Cumberland Regional Hospital and South Lyon Medical Center.

When was this NPI record last updated?

The NPPES record for Raj Patel was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.