NISARG PATEL M.D.
NPI 1699174904
Emergency Medicine in Memphis, TN

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment
3960 NEW COVINGTON PIKE, EMERGENCY MEDICINE DEPARTMENT, MEMPHIS, TN 38128(901) 516-5200 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nisarg Patel M.d. NPPES

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

NISARG PATEL M.D. (NPI 1699174904) is an individual emergency medicine provider in Memphis, Tennessee, licensed in Tennessee (51938) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Central Florida Lake Monroe Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1699174904
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNISARG PATELCredential: M.D.
Location Address3960 NEW COVINGTON PIKE, EMERGENCY MEDICINE DEPARTMENTMemphis, TN 38128-2504
Mailing Address3701 Ashbrook Dr Nw, Apartment 217Wilson, NC 27896-7620 · (305) 608-8408
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 22, 2014
✔ NPI 1699174904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 51938
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 51938 (TN)
3960 NEW COVINGTON PIKE, Memphis, TN 38128

Accepted Insurance

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

Nisarg 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 ID9032331236
PECOS Enrollment IDI20151124002645, I20240905004770
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

6

Medicare enrollment records show Nisarg Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
Emergency Medicine
566 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 83 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL DR
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
Emergency Medicine
317 WESTERN BLVD
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 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 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.

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.
63 services61 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.
58 services55 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100161
Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County
Emergency services

Hca Florida Poinciana Hospital

Acute Care Hospitals · Kissimmee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100320
Location325 Cypress PkwyKissimmee, FL 34758 · Osceola County
Emergency services

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38128 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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.

Physical Therapist
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Physical Therapist
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Speech-Language Pathologist
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Emergency Medicine
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Nurse Practitioner (Psychiatric/Mental Health)
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Internal Medicine
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Emergency Medicine
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Internal Medicine
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128

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 Nisarg Patel's NPI number?

The NPI number for Nisarg Patel is 1699174904. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Nisarg Patel located?

Nisarg Patel practices at 3960 New Covington Pike Emergency Medicine Department, Memphis, TN 38128. The listed phone number is (901) 516-5200.

What is Nisarg Patel's specialty?

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

Is Nisarg Patel enrolled in Medicare?

Yes. Nisarg 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 Nisarg Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisarg Patel reassigns Medicare benefits to 6 organizations: Emergency Coverage, LLC (Newport, TN), Bull City Physicians, PLLC (Henderson, NC), Gem Capital Physicians, PLLC (Louisburg, NC), Tarheel Emergency Group, PLLC (Jacksonville, NC), Emergency Medicine Services Of Fl, LLC (Aventura, FL) and 1 more organization, listed in the Medicare section above. 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 Nisarg Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisarg Patel accept?

Health plans from Oscar Health Maintenance Organization of Florida list Nisarg 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 Nisarg Patel affiliated with any hospitals?

According to CMS data, Nisarg Patel is affiliated with Central Florida Lake Monroe Hospital, Hca Florida Poinciana Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Nisarg Patel was last updated on August 22, 2014. 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.