MR. NILESH SHANTILAL PATEL M.D.
NPI 1679637946
Radiology - Radiation Oncology in Knoxville, TN

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
900 E OAK HILL AVE, KNOXVILLE, TN 37917(865) 859-7020(865) 859-3706 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2025, Nov 10, 2020 (2 updates tracked since 2020).

About Mr. Nilesh Shantilal Patel M.d. NPPES

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

MR. NILESH SHANTILAL PATEL M.D. (NPI 1679637946) is an individual radiation oncology provider in Knoxville, Tennessee, licensed in Tennessee (42003) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Harlan Arh Hospital, and is a graduate of Baylor College Of Medicine (1998).

NPPES Registry Identity

NPI1679637946
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameMR. NILESH SHANTILAL PATELCredential: M.D.
Location Address900 E OAK HILL AVEKnoxville, TN 37917-4505
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366
Fax(865) 859-3706
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1998
Enumeration DateDecember 21, 2006
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1679637946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses Licensed in TN · 42003 Licensed in GA · 054850
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
900 E OAK HILL AVE, Knoxville, TN 37917

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

Mr. Nilesh Shantilal 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 ID8426159757
PECOS Enrollment IDI20070731000045
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 24

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
2,822 services98 patients
Design and construction of simple radiation treatment device 77332
A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.
750 services40 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
678 services149 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
605 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
438 services281 patients
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290
This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.
377 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Lafollette Medical Center

Acute Care Hospitals · La Follette, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440033
Location923 East Central AvenueLa Follette, TN 37766 · Campbell County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37917 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.75
Promoting Interoperability100
Improvement Activities40
Cost65.55

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.

Rehabilitation Unit
900 E OAK HILL AVE
KNOXVILLE, TN 37917
Pharmacy
900 E OAK HILL AVE
KNOXVILLE, TN 37917
Nurse Practitioner
900 E OAK HILL AVE
KNOXVILLE, TN 37917
Dietitian, Registered
900 E OAK HILL AVE, NUTRITIONAL SERVICES DEPARTMENT
KNOXVILLE, TN 37917
Physician Assistant
900 E OAK HILL AVE
KNOXVILLE, TN 37917
Physician Assistant
900 E OAK HILL AVE
KNOXVILLE, TN 37917
Nurse Anesthetist, Certified Registered
900 E OAK HILL AVE
KNOXVILLE, TN 37917
Emergency Medicine
900 E OAK HILL AVE
KNOXVILLE, TN 37917

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 Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1679637946. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Nilesh Patel located?

Nilesh Patel practices at 900 E Oak Hill Ave, Knoxville, TN 37917. The listed phone number is (865) 859-7020.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Nilesh Patel enrolled in Medicare?

Yes. Nilesh 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 Nilesh Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Nilesh 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 Nilesh Patel affiliated with any hospitals?

According to CMS data, Nilesh Patel is affiliated with Harlan Arh Hospital, University Health System, Inc, Lafollette Medical Center, Physicians Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.