DR. NISHI HAMANT PATEL M.D.
NPI 1821435876
Internal Medicine in York, PA
About Dr. Nishi Hamant Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NISHI HAMANT PATEL M.D. (NPI 1821435876) is an individual internal medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD455151) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 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
Dr. Nishi Hamant 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.
Medicare Billing Reassignments
14Medicare enrollment records show Nishi Patel reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
York, PA 17403
- Reassigned Medicare billing, Pennsylvania enrollment
- 143 clinicians in this Medicare group
York, PA 17403
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
West Grove, PA 19390
- Reassigned Medicare billing, Pennsylvania and Delaware enrollments
- Also billed through NPI 1134104565 (Delaware)
- 186 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 276 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 clinicians in this Medicare group
Woonsocket, RI 02895
- Reassigned Medicare billing, Pennsylvania enrollment
- 122 clinicians in this Medicare group
Fairhaven, MA 02719
- Reassigned Medicare billing, Massachusetts enrollment
- 1,144 clinicians in this Medicare group
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 133 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Arkansas, Connecticut, Indiana, Missouri, Montana, Pennsylvania, South Carolina, Texas and Virginia enrollments
- 150 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 13
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sullivan County Community Hospital
Critical Access Hospitals · Sullivan, INWellspan York Hospital
Acute Care Hospitals · York, PAGettysburg Hospital
Acute Care Hospitals · Gettysburg, PAWellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PASentara Princess Anne Hospital
Acute Care Hospitals · Virginia Beach, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
YORK, PA 17403
YORK, PA 17403
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 Nishi Patel's NPI number?
The NPI number for Nishi Patel is 1821435876. It was assigned to this individual provider in the NPPES registry on May 31, 2013. The provider is also known as Nishi Hamantkumar Patel.
Where is Nishi Patel located?
Nishi Patel practices at 30 Monument Rd Ste 1100, York, PA 17403. The listed phone number is (717) 851-2441.
What is Nishi Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nishi Patel enrolled in Medicare?
Yes. Nishi 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 Nishi Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishi Patel reassigns Medicare benefits to 14 organizations: Good Samaritan Physician Services (York, PA), Wellspan Medical Group (York, PA), Christiana Care Health Services Inc (West Grove, PA), Minuteclinic LLC (Rockville, MD), Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA) and 9 more organizations, 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 Nishi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nishi Patel accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Nishi 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 Nishi Patel affiliated with any hospitals?
According to CMS data, Nishi Patel is affiliated with Sullivan County Community Hospital, Wellspan York Hospital, Gettysburg Hospital, Wellspan Ephrata Community Hospital and Sentara Princess Anne Hospital.
When was this NPI record last updated?
The NPPES record for Nishi Patel was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Dr. Nishi Hamant Patel, M.D. · NPI 1821435876
Internal Medicine physician in York, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2013.
## Identity
- **NPI:** 1821435876 (Entity type: Individual)
- **Enumerated:** May 31, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD455151 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 MONUMENT RD STE 1100, York, PA 17403-5024
- **Phone:** (717) 851-2441 · **Fax:** (717) 851-3521
## 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:** 14 organizations under Medicare reassignment (form CMS-855R): Good Samaritan Physician Services (NPI 1497521702, York, PA); Wellspan Medical Group (NPI 1104988740, York, PA); Christiana Care Health Services Inc (NPI 1194255604, West Grove, PA); Minuteclinic LLC (NPI 1134191836, Rockville, MD); Minuteclinic Diagnostic Of Virginia LLC (NPI 1417076829, Leesburg, VA); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821435876) · Data from the CMS NPPES public registry.