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DENISHA PATEL
NPI 1811660210
Nurse Practitioner - Family in Doylestown, PA

Active since July 30, 2021PECOS Enrolled
4259 W SWAMP RD STE 303, DOYLESTOWN, PA 18902(215) 345-2535(267) 946-5948 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2024, May 26, 2023, Jul 30, 2021 (3 updates tracked since 2021).

About Denisha Patel NPPES

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

DENISHA PATEL (NPI 1811660210) is an individual family provider in Doylestown, Pennsylvania, licensed in Pennsylvania (SP024139) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Doylestown, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811660210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENISHA PATEL
Location Address4259 W SWAMP RD STE 303Doylestown, PA 18902-1033
Mailing AddressPo Box 8298641Philadelphia, PA 19182-9641 · (267) 370-5285 · Fax (215) 230-3725
Phone(215) 345-2535
Fax(267) 946-5948
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 30, 2021
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1811660210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP024139
4259 W SWAMP RD STE 303, Doylestown, PA 18902
Open in Google Maps ↗

Secondary Practice Location 1

Location 1777 Ferry RdDoylestown, PA 18901-2102 · Phone (215) 345-2535 · Fax (267) 946-5946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denisha Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698170405
PECOS Enrollment IDI20210817002418
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 Reassignments

6

Medicare enrollment records show Denisha Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Via Affiliates
Same address
Urgent Care
4259 W SWAMP RD STE 108
Doylestown, PA 18902
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1700314853 (267) 370-5296
Clinical Specialty Associates
1.8 mi
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1306734934 (215) 230-5296
Wellness Medical Services LLC
8.3 mi
Geriatric Medicine
1427 HORSHAM RD
North Wales, PA 19454
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 21 clinicians in this Medicare group
NPI 1649926049 (215) 326-9065
Balaji 5 LLC
13 mi
Family
3430 HUNTINGDON PIKE
Huntingdon Valley, PA 19006
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1366294985 (201) 310-8712
Rite Med Group Of PA PLLC
24 mi
Internal Medicine
2232 29TH ST SW
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
NPI 1962118000 (610) 797-4651
Pennsylvania Urgent Care Centers, PLLC
37 mi
Urgent Care
150 E PENNSYLVANIA AVE, SUITE 140
Downingtown, PA 19335
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 172 clinicians in this Medicare group
NPI 1902128721 (610) 518-1060

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 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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
735 services127 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
37 services28 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
30 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18902 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

FAUSAT OKE MD
Internal Medicine (Hospice and Palliative Medicine)
4259 W SWAMP RD STE 303
DOYLESTOWN, PA 18902
Bucks County (215) 345-2535
VIA AFFILIATES
Internal Medicine (Hospice and Palliative Medicine)
4259 W SWAMP RD STE 303
DOYLESTOWN, PA 18902
Bucks County (215) 345-2535
ANNA NJARLANGATTIL THOMAS M.D.
Internal Medicine (Hospice and Palliative Medicine)
4259 W SWAMP RD STE 303
DOYLESTOWN, PA 18902
Bucks County (215) 345-2535

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 Denisha Patel's NPI number?

The NPI number for Denisha Patel is 1811660210. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Denisha Patel located?

Denisha Patel practices at 4259 W Swamp Rd Ste 303, Doylestown, PA 18902. The listed phone number is (215) 345-2535.

What is Denisha Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Denisha Patel enrolled in Medicare?

Yes. Denisha Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Denisha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denisha Patel reassigns Medicare benefits to 6 organizations: Via Affiliates (Doylestown, PA), Clinical Specialty Associates (Doylestown, PA), Wellness Medical Services LLC (North Wales, PA), Balaji 5 LLC (Huntingdon Valley, PA), Rite Med Group Of PA PLLC (Allentown, PA) 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 Denisha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denisha Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Denisha 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 Denisha Patel was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.