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NIRALI M PATEL
NPI 1689225005
Physician Assistant in Lady Lake, FL

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
749 HIGHWAY 466, LADY LAKE, FL 32159(352) 350-5130 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nirali M Patel NPPES

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

NIRALI M PATEL (NPI 1689225005) is an individual physician assistant in Lady Lake, Florida, licensed in Florida (PA9112553) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Hca Florida South Shore Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689225005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIRALI M PATEL
Location Address749 HIGHWAY 466Lady Lake, FL 32159-6340
Mailing Address749 Highway 466Lady Lake, FL 32159-6340 · (352) 350-5130
Phone(352) 350-5130
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 26, 2019
✔ NPI 1689225005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112553
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
749 HIGHWAY 466, Lady Lake, FL 32159
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare.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

Nirali M Patel 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 ID6507198298
PECOS Enrollment IDI20191030000853
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
377 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
63 services14 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100259
Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Nirali Patel's NPI number?

The NPI number for Nirali Patel is 1689225005. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Nirali Patel located?

Nirali Patel practices at 749 Highway 466, Lady Lake, FL 32159. The listed phone number is (352) 350-5130.

What is Nirali Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nirali Patel enrolled in Medicare?

Yes. Nirali 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 Nirali Patel accept?

Health plans from AvMed and UnitedHealthcare list Nirali 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 Nirali Patel affiliated with any hospitals?

According to CMS data, Nirali Patel is affiliated with Hca Florida South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Nirali Patel was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.