DR. USHMA J PATEL MD
NPI 1821587163
Obstetrics & Gynecology in Menomonee Falls, WI
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 maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ushma Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
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, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician 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.
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.
Which organizations bill Medicare for Ushma Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ushma Patel reassigns Medicare benefits to 2 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Ushma Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ushma Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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 11 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. Ushma J Patel, MD · NPI 1821587163
Obstetrics & Gynecology physician in Menomonee Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since May 2, 2018.
## Identity
- **NPI:** 1821587163 (Entity type: Individual)
- **Enumerated:** May 2, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 72059 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W180N8000 TOWN HALL RD FL 3, Menomonee Falls, WI 53051-4002
- **Phone:** (262) 255-2500
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821587163) · Data from the CMS NPPES public registry.