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DR. NILEM PATEL M.D.
NPI 1689837171
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pomona, CA

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1866 N ORANGE GROVE AVE, SUITE 102, POMONA, CA 91767(909) 629-3062(909) 629-1142 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nilem Patel M.d. NPPES

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

DR. NILEM PATEL M.D. (NPI 1689837171) is an individual endocrinology, diabetes & metabolism provider in Pomona, California, licensed in California (A103483) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1689837171
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. NILEM PATELCredential: M.D.
Location Address1866 N ORANGE GROVE AVE, SUITE 102Pomona, CA 91767-3031
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573
Phone(909) 629-3062
Fax(909) 629-1142
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 7, 2008
Last NPPES UpdateAugust 13, 2013
✔ NPI 1689837171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A103483
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1866 N ORANGE GROVE AVE, Pomona, CA 91767
Open in Google Maps ↗

Other Identifiers 2

Medicare PINEX623ZCA
Medicare PINEY623YCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Nilem 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 ID1153507546
PECOS Enrollment IDI20110519000556, I20200831002662
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.

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.
249 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers28 claims293 services$18.58 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers28 claims750 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers25 claims25 services$166.09 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
39 suppliers197 claims529 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
27 suppliers93 claims135 services$1.01 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers56 claims56 services$314.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

KENNETH SPIERS BROWN MD
Internal Medicine
1866 N ORANGE GROVE AVE, STE 102
POMONA, CA 91767
Los Angeles County (909) 620-4373
JAYAPAL ARAGONDA REDDY
Internal Medicine (Cardiovascular Disease)
1866 N ORANGE GROVE AVE, 202
POMONA, CA 91767
Los Angeles County (909) 623-8796
DR. GAURAV R PARIKH MD
Internal Medicine (Cardiovascular Disease)
1866 N ORANGE GROVE AVE, SUITE 202
POMONA, CA 91767
Los Angeles County (909) 623-8796
ROBERT CHESTER JONES MD
Internal Medicine (Sleep Medicine)
1866 N ORANGE GROVE AVE, SUITE 102
POMONA, CA 91767
Los Angeles County (909) 865-0676
INTERNAL MEDICINE MEDICAL GROUP
Internal Medicine
1866 N ORANGE GROVE AVE, SUITE 102
POMONA, CA 91767
Los Angeles County (909) 865-0676
DR. PUNEET GHAYAL M.D.
Internal Medicine (Cardiovascular Disease)
1866 N ORANGE GROVE AVE, SUITE # 202
POMONA, CA 91767
Los Angeles County (909) 623-8796
INTERNAL MEDICINE MEDICAL GROUP
Family Medicine
1866 N ORANGE GROVE AVE, SUITE 202
POMONA, CA 91767
Los Angeles County (909) 623-8796
CHAPARRAL MEDICAL GROUP, INC.
Internal Medicine
1866 N ORANGE GROVE AVE, 202 201 102 & 104
POMONA, CA 91767
Los Angeles County (909) 623-8796

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 Nilem Patel's NPI number?

The NPI number for Nilem Patel is 1689837171. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Nilem Patel located?

Nilem Patel practices at 1866 N Orange Grove Ave Suite 102, Pomona, CA 91767. The listed phone number is (909) 629-3062.

What is Nilem Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nilem Patel enrolled in Medicare?

Yes. Nilem 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 Nilem Patel accept?

Health plans from HMSA list Nilem 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 Nilem Patel affiliated with any hospitals?

According to CMS data, Nilem Patel is affiliated with Adventist Health Castle.

When was this NPI record last updated?

The NPPES record for Nilem Patel was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.