DR. NIMISH D PATEL M.D.
NPI 1801057641
Internal Medicine in Coudersport, PA

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-9300 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nimish D Patel M.d. NPPES

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

DR. NIMISH D PATEL M.D. (NPI 1801057641) is an individual internal medicine provider in Coudersport, Pennsylvania, licensed in Pennsylvania (MD437330) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of George Washington University School Of Medicine (2005).

NPPES Registry Identity

NPI1801057641
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIMISH D PATELCredential: M.D.
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address4521 Barnsleigh DrBensalem, PA 19020-7824 · (215) 750-6627
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2005
Enumeration DateJune 24, 2008
Last NPPES UpdateMarch 9, 2010
NPI 1801057641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD437330 Licensed in PA · MT187205
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.
1001 E 2ND ST, Coudersport, PA 16915

Other Identifiers 1

Medicare PIN166425JT3PA

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

Dr. Nimish D 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 ID1951449255
PECOS Enrollment IDI20091106000152
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 3

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.

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.
413 services125 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
73 services72 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16915 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$12.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims40 services$61.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1001 E 2ND ST
COUDERSPORT, PA 16915
Dental Hygienist
1001 E 2ND ST
COUDERSPORT, PA 16915
Pathology (Clinical Pathology/Laboratory Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Dietitian, Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Speech-Language Pathologist
1001 E 2ND ST
COUDERSPORT, PA 16915

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 Nimish Patel's NPI number?

The NPI number for Nimish Patel is 1801057641. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Nimish Patel located?

Nimish Patel practices at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-9300.

What is Nimish Patel's specialty?

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

Is Nimish Patel enrolled in Medicare?

Yes. Nimish 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 Nimish Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nimish 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.

Is Nimish Patel affiliated with any hospitals?

According to CMS data, Nimish Patel is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Nimish Patel was last updated on March 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.