NIKI A PATEL DO
NPI 1770024630
Otolaryngology - Facial Plastic Surgery in Tucson, AZ

Active since March 12, 2017PECOS EnrolledAccepts Medicare Assignment
69.24/100
CMS Quality Rating
395 N SILVERBELL RD STE 201, TUCSON, AZ 85745(520) 792-2170(520) 792-9702 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, May 16, 2018 (2 updates tracked since 2018).

About Niki A Patel Do NPPES

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

NIKI A PATEL DO (NPI 1770024630) is an individual facial plastic surgery provider in Tucson, Arizona, licensed in Michigan (5101023262) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1770024630
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameNIKI A PATELCredential: DO
Location Address395 N SILVERBELL RD STE 201Tucson, AZ 85745-2719
Mailing Address9097 E Desert Cove Ave Ste 200Scottsdale, AZ 85260-6280 · (480) 614-5406 · Fax (480) 214-9929
Fax(520) 792-9702
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 12, 2017
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1770024630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in MI · 5101023262
Definition
An otolaryngologist who specializes in facial plastic surgery.
395 N SILVERBELL RD STE 201, Tucson, AZ 85745

Accepted Insurance

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

Niki A Patel Do 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 ID547530537
PECOS Enrollment IDI20220811003586
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 19

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
608 services19 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
570 services22 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
427 services19 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
364 services27 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.
293 services213 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.
166 services166 patients

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.

69.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability99
Improvement Activities40
Cost28.43

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
395 N SILVERBELL RD STE 201
TUCSON, AZ 85745
Otolaryngology
395 N SILVERBELL RD STE 201
TUCSON, AZ 85745
Physician Assistant
395 N SILVERBELL RD STE 201
TUCSON, AZ 85745
Audiologist
395 N SILVERBELL RD STE 201
TUCSON, AZ 85745
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
395 N SILVERBELL RD STE 201
TUCSON, AZ 85745
Audiologist
395 N SILVERBELL RD STE 201
TUCSON, AZ 85745

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 Niki Patel's NPI number?

The NPI number for Niki Patel is 1770024630. It was assigned to this individual provider in the NPPES registry on March 12, 2017.

Where is Niki Patel located?

Niki Patel practices at 395 N Silverbell Rd Ste 201, Tucson, AZ 85745. The listed phone number is (520) 792-2170.

What is Niki Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Niki Patel enrolled in Medicare?

Yes. Niki 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.

What insurance does Niki Patel accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Niki 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.

When was this NPI record last updated?

The NPPES record for Niki Patel was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.