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NIHAL PATEL MD
NPI 1720375090
Internal Medicine - Gastroenterology in Hartford, CT

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
85 SEYMOUR ST STE 1000, HARTFORD, CT 06106(860) 246-2571(860) 246-3691 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2021, Aug 26, 2018, Feb 18, 2016 (3 updates tracked since 2016).

About Nihal Patel Md NPPES

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

NIHAL PATEL MD (NPI 1720375090) is an individual gastroenterology provider in Hartford, Connecticut, licensed in Connecticut (60454) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2011).

NPPES Registry Identity

NPI1720375090
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNIHAL PATELCredential: MD
Location Address85 SEYMOUR ST STE 1000Hartford, CT 06106
Mailing Address85 Seymour St Ste 1000Hartford, CT 06106-5564 · (860) 246-2571 · Fax (860) 246-3691
Phone(860) 246-2571
Fax(860) 246-3691
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateJune 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1720375090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 60454
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
85 SEYMOUR ST STE 1000, Hartford, CT 06106
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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

Nihal 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 ID9739303538
PECOS Enrollment IDI20180802001998
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 10

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.
97 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services59 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
58 services57 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.
56 services54 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
42 services42 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL AARON SELDEN M.D.
Internal Medicine (Gastroenterology)
85 SEYMOUR ST STE 1000
HARTFORD, CT 06106
Capitol Planning Region (860) 508-7118
BETHANY TERESA WHITNEY PHYSICIAN ASSISTANT
Physician Assistant (Medical)
85 SEYMOUR ST STE 1000
HARTFORD, CT 06106
Capitol Planning Region (860) 246-2571
UYEN TO M.D.
Internal Medicine (Hepatology)
85 SEYMOUR ST STE 1000
HARTFORD, CT 06106
Capitol Planning Region (860) 246-2571

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 Nihal Patel's NPI number?

The NPI number for Nihal Patel is 1720375090. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Nihal Patel located?

Nihal Patel practices at 85 Seymour St Ste 1000, Hartford, CT 06106. The listed phone number is (860) 246-2571.

What is Nihal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nihal Patel enrolled in Medicare?

Yes. Nihal 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.

When was this NPI record last updated?

The NPPES record for Nihal Patel was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.