1. Home
  2. Directory
  3. California
  4. Temecula
  5. Urology
  6. NPI Profile

DR. NISHANT D PATEL MD
NPI 1720216153
Urology in Temecula, CA

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
44605 AVENIDA DE MISSIONES STE 203, TEMECULA, CA 92592(951) 383-2254(951) 383-4318 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Aug 2, 2021, Jan 22, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Nishant D Patel Md NPPES

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

DR. NISHANT D PATEL MD (NPI 1720216153) is an individual urology provider in Temecula, California, licensed in California (A120483) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Encinitas, and is a graduate of University Of Arizona College Of Medicine (2008).

NPPES Registry Identity

NPI1720216153
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. NISHANT D PATELCredential: MD
Location Address44605 AVENIDA DE MISSIONES STE 203Temecula, CA 92592-5001
Mailing Address477 N El Camino Real Ste C204Encinitas, CA 92024-1332 · (760) 230-2256
Phone(951) 383-2254
Fax(951) 383-4318
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2008
Enumeration DateJune 24, 2009
Last NPPES UpdateJuly 8, 20266 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1720216153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A120483
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
44605 AVENIDA DE MISSIONES STE 203, Temecula, CA 92592
Open in Google Maps ↗

Secondary Practice Location 1

Location 1477 N El Camino Real Ste 204Encinitas, CA 92024-1328 · Phone (760) 230-2256

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

Dr. Nishant D 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 ID143513283
PECOS Enrollment IDI20170526001089
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 Nishant Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Medical Doctors
10 mi
Gastroenterology
28078 BAXTER RD STE 530
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
  • 240 clinicians in this Medicare group
NPI 1770559981 (951) 566-5229
University Of Virginia Physicians Group
2,176 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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 6

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.
186 services115 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.
128 services128 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.
104 services80 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
39 services37 patients
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.
29 services29 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92592 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,410 services$1.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nishant Patel's NPI number?

The NPI number for Nishant Patel is 1720216153. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Nishant Patel located?

Nishant Patel practices at 44605 Avenida De Missiones Ste 203, Temecula, CA 92592. The listed phone number is (951) 383-2254.

What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nishant Patel enrolled in Medicare?

Yes. Nishant 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 Nishant Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Patel reassigns Medicare benefits to 2 organizations: United Medical Doctors (Murrieta, CA) and University Of Virginia Physicians Group (Charlottesville, VA). 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 Nishant 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 Nishant Patel was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.