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NIRAVKUMAR PATEL
NPI 1710387915
Internal Medicine in Lexington, MA

Active since August 26, 2014PECOS Enrolled
4 HADLEY RD, LEXINGTON, MA 02420(617) 893-9901 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2020, Sep 28, 2015 (2 updates tracked since 2015).

About Niravkumar Patel NPPES

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

NIRAVKUMAR PATEL (NPI 1710387915) is an individual internal medicine provider in Lexington, Massachusetts, licensed in Massachusetts (264097) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1710387915
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRAVKUMAR PATEL
Location Address4 HADLEY RDLexington, MA 02420
Mailing Address4 Hadley RdLexington, MA 02420-1438 · (617) 893-9901
Phone(617) 893-9901
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 26, 2014
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1710387915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 264097✔ Licensed in CT · 54385
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4 HADLEY RD, Lexington, MA 02420
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niravkumar Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648580985
PECOS Enrollment IDI20151117000873
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

3

Medicare enrollment records show Niravkumar Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mth Specialty LLC
4.7 mi
Internal Medicine
19 PLEASANT ST
Woburn, MA 01801
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1770462020 (781) 404-6172
Arbour Inc
13 mi
Psychiatry
49 ROBINWOOD AVE
Boston, MA 02130
  • Reassigned Medicare billing, Massachusetts enrollment
  • 62 clinicians in this Medicare group
NPI 1770766529 (617) 522-4400
Lynn Urgent Care LLC
14 mi
Urgent Care
776 WESTERN AVE
Lynn, MA 01905
  • Reassigned Medicare billing, Massachusetts enrollment
  • 11 clinicians in this Medicare group
NPI 1992342075 (617) 893-9901

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02420 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 2

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

RINA PATEL
Nurse Practitioner (Family)
4 HADLEY RD
LEXINGTON, MA 02420
Middlesex County (617) 633-1451
REGIS COLLEGE
Skilled Nursing Facility
4 HADLEY RD
LEXINGTON, MA 02420
Middlesex County (617) 633-1451

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 Niravkumar Patel's NPI number?

The NPI number for Niravkumar Patel is 1710387915. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Niravkumar Patel located?

Niravkumar Patel practices at 4 Hadley Rd, Lexington, MA 02420. The listed phone number is (617) 893-9901.

What is Niravkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niravkumar Patel enrolled in Medicare?

Yes. Niravkumar Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Niravkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niravkumar Patel reassigns Medicare benefits to 3 organizations: Mth Specialty LLC (Woburn, MA), Arbour Inc (Boston, MA) and Lynn Urgent Care LLC (Lynn, MA). 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 Niravkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Niravkumar Patel was last updated on April 17, 2020. 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.