NILESH PATEL MD
NPI 1699159244
Hospitalist in Knoxville, TN

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1924 ALCOA HWY # U56, KNOXVILLE, TN 37920(865) 305-9081(865) 305-8769 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2024, Dec 8, 2021 (2 updates tracked since 2021).

About Nilesh Patel Md NPPES

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

NILESH PATEL MD (NPI 1699159244) is an individual hospitalist provider in Knoxville, Tennessee, licensed in Tennessee (57349) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699159244
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNILESH PATELCredential: MD
Location Address1924 ALCOA HWY # U56Knoxville, TN 37920-1511
Mailing AddressPo Box 415000-msc8135Nashville, TN 37241-8135 · (865) 670-6199 · Fax (865) 670-6198
Fax(865) 305-8769
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 14, 2015
Last NPPES UpdateMay 4, 20242 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1699159244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 57349
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301108297 (MI)
1924 ALCOA HWY # U56, Knoxville, TN 37920

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nilesh Patel Md 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 ID4486945870
PECOS Enrollment IDI20190207002923
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nilesh Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
1924 ALCOA HWY
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
392 services370 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount 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

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 37920 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%102 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Nurse Practitioner (Acute Care)
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Hospitalist
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Hospitalist
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Hospitalist
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Hospitalist
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Nurse Practitioner (Acute Care)
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920
Hospitalist
1924 ALCOA HWY # U56
KNOXVILLE, TN 37920

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 1699159244. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Nilesh Patel located?

Nilesh Patel practices at 1924 Alcoa Hwy # U56, Knoxville, TN 37920. The listed phone number is (865) 305-9081.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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.

Which organizations bill Medicare for Nilesh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Patel reassigns Medicare benefits to 2 organizations: University Health System, Inc (Knoxville, TN) and App Of Tennessee Hm, PLLC (Shelbyville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nilesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nilesh Patel affiliated with any hospitals?

According to CMS data, Nilesh Patel is affiliated with Blount Memorial Hospital, University Health System, Inc and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.