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DR. USHMA J PATEL MD
NPI 1821587163
Obstetrics & Gynecology in Menomonee Falls, WI

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
W180N8000 TOWN HALL RD FL 3, MENOMONEE FALLS, WI 53051(262) 255-2500 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ushma J Patel Md NPPES

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

DR. USHMA J PATEL MD (NPI 1821587163) is an individual obstetrics & gynecology provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (72059) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2018).

NPPES Registry Identity

NPI1821587163
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. USHMA J PATELCredential: MD
Location AddressW180N8000 TOWN HALL RD FL 3Menomonee Falls, WI 53051-4002
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-3666 · Fax (414) 805-6622
Phone(262) 255-2500
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2018
Enumeration DateMay 2, 2018
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1821587163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 72059
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
W180N8000 TOWN HALL RD FL 3, Menomonee Falls, WI 53051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Network Health.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. Ushma J 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.

PECOS PAC ID1355698598
PECOS Enrollment IDI20251031002813
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.

Hospital Affiliations CMS Care Compare 2

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ushma Patel's NPI number?

The NPI number for Ushma Patel is 1821587163. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Ushma Patel located?

Ushma Patel practices at W180n8000 Town Hall Rd Fl 3, Menomonee Falls, WI 53051. The listed phone number is (262) 255-2500.

What is Ushma Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ushma Patel enrolled in Medicare?

Yes. Ushma 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 Ushma Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Ushma 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 Ushma Patel affiliated with any hospitals?

According to CMS data, Ushma Patel is affiliated with Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Ushma Patel was last updated on October 27, 2025. 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.