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NIRAJ PATEL M.D.
NPI 1811315492
Family Medicine in Cameron Park, CA

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
3581 PALMER DR STE 602, CAMERON PARK, CA 95682(530) 672-7000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niraj Patel M.d. NPPES

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

NIRAJ PATEL M.D. (NPI 1811315492) is an individual family medicine provider in Cameron Park, California, licensed in California (A145669) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grove City, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811315492
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIRAJ PATELCredential: M.D.
Location Address3581 PALMER DR STE 602Cameron Park, CA 95682-8238
Mailing AddressPo Box 45680San Francisco, CA 94145-0680
Phone(530) 672-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 1, 2014
Last NPPES UpdateMarch 17, 2018
✔ NPI 1811315492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A145669
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3581 PALMER DR STE 602, Cameron Park, CA 95682
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Secondary Practice Location 1

Location 12030 Stringtown RdGrove City, OH 43123-3993 · Phone (614) 544-0044

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

Niraj 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 ID941422489
PECOS Enrollment IDI20171017001157
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.

Medicare Billing Reassignment

Medicare enrollment records show Niraj Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshall Medical Center
Same address
Adult Mental Health
3581 PALMER DR STE 202
Cameron Park, CA 95682
  • Reassigned Medicare billing, California enrollment
  • 152 clinicians in this Medicare group
NPI 1356904577 (530) 672-7000

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.

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.
625 services407 patients
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.
299 services221 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
201 services201 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services58 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
40 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95682 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers18 claims44 services$6.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims78 services$1.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier29 claims30 services$14.35 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier24 claims24 services$22.82 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
1 supplier38 claims40 services$61.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers41 claims41 services$185.02 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 4

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

MS. SARAH BETH SNYDER FNP
Nurse Practitioner (Family)
3581 PALMER DR STE 602
CAMERON PARK, CA 95682
El Dorado County (530) 672-7000
NIGAH PATEL FNP
Nurse Practitioner (Family)
3581 PALMER DR STE 602
CAMERON PARK, CA 95682
El Dorado County (530) 672-7000
MS. MARISA LARAE NEELEY PA-C
Physician Assistant (Medical)
3581 PALMER DR STE 602
CAMERON PARK, CA 95682
El Dorado County (530) 672-7000
DR. ANURADHA SHANMUGHAM M.D.
Internal Medicine
3581 PALMER DR STE 602
CAMERON PARK, CA 95682
El Dorado County (530) 672-7000

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 Niraj Patel's NPI number?

The NPI number for Niraj Patel is 1811315492. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Niraj Patel located?

Niraj Patel practices at 3581 Palmer Dr Ste 602, Cameron Park, CA 95682. The listed phone number is (530) 672-7000.

What is Niraj Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niraj Patel enrolled in Medicare?

Yes. Niraj 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 organization bills Medicare for Niraj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Patel reassigns Medicare benefits to Marshall Medical Center (Cameron Park, CA). The 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 Niraj Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Niraj Patel was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.