NIMISHA PATEL MD
NPI 1811126576
Hospitalist in Cumming, GA
About Nimisha Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIMISHA PATEL MD (NPI 1811126576) is an individual hospitalist provider in Cumming, Georgia, licensed in Georgia (069239) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Nimisha 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.
Medicare Billing Reassignments
6Medicare enrollment records show Nimisha Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Conyers, GA 30013
- Reassigned Medicare billing, Georgia enrollment
- 14 clinicians in this Medicare group
Conyers, GA 30013
- Reassigned Medicare billing, Georgia enrollment
- 19 clinicians in this Medicare group
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 160 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
CUMMING, GA 30041
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 Nimisha Patel's NPI number?
The NPI number for Nimisha Patel is 1811126576. It was assigned to this individual provider in the NPPES registry on July 2, 2009.
Where is Nimisha Patel located?
Nimisha Patel practices at 1200 Northside Forsyth Dr, Cumming, GA 30041. The listed phone number is (770) 844-3200.
What is Nimisha Patel's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Nimisha Patel enrolled in Medicare?
Yes. Nimisha 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 Nimisha Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nimisha Patel reassigns Medicare benefits to 6 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), North Atlanta Professional Services LLC (Atlanta, GA), Atlanta Plus Primary Care LLC (Conyers, GA), Atlanta Plus Urgent Care (Conyers, GA), Georgia Hospitalists Group, LLC (Riverdale, GA) and 1 more organization, listed in the Medicare section above. 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 Nimisha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nimisha Patel accept?
Health plans from Oscar Health list Nimisha 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 Nimisha Patel affiliated with any hospitals?
According to CMS data, Nimisha Patel is affiliated with Northside Hospital Forsyth.
When was this NPI record last updated?
The NPPES record for Nimisha Patel was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Nimisha Patel, MD · NPI 1811126576
Hospitalist physician in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since July 2, 2009.
## Identity
- **NPI:** 1811126576 (Entity type: Individual)
- **Enumerated:** July 2, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 069239 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041-7659
- **Phone:** (770) 844-3200 · **Fax:** (404) 851-6325
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Atlanta Plus Primary Care LLC (NPI 1265144414, Conyers, GA); Atlanta Plus Urgent Care (NPI 1588163638, Conyers, GA); Georgia Hospitalists Group, LLC (NPI 1033576376, Riverdale, GA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 13, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1811126576) · Data from the CMS NPPES public registry.