NISHA PATEL M.D.
NPI 1770970816
Hospitalist in San Francisco, CA

Q: What is Nisha Patel's NPI number?

The NPI number for Nisha Patel is 1770970816. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Q: What is Nisha Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Patel was last updated on February 24, 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.

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment

1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-3458(415) 558-7020 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2021, May 10, 2019 (2 updates tracked since 2019).

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About Nisha Patel M.d. NPPES

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

NISHA PATEL M.D. (NPI 1770970816) is an individual hospitalist provider in San Francisco, California, licensed in California (A145412) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2015).

NPPES Registry Identity

NPI1770970816

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNISHA PATELCredential: M.D.

Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 600-3458 · Fax (415) 558-7020

Phone(415) 600-3458

Fax(415) 558-7020

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2015

Enumeration DateApril 15, 2015

Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2021

✔ NPI 1770970816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A145412

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A145412 (CA)

1100 VAN NESS AVE, San Francisco, CA 94109

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Secondary Practice Locations 2

Location 1200 W Arbor Dr # 8425San Diego, CA 92103-1911 · Phone (619) 543-6268

Location 22340 Clay St Fl 2San Francisco, CA 94115 · Phone (415) 600-7886 · Fax (415) 369-1386

Other Identifiers 1

OtherA145412CA · State Medical License

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

Nisha 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 ID5193075273

PECOS Enrollment IDI20180911002810

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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

227 services66 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

185 services70 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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