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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIKUNJ M PATEL M D
NPI 1851553804
Family Medicine in Los Angeles, CA

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
4511 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 264-2890(323) 264-7150 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nikunj M Patel M D NPPES

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

NIKUNJ M PATEL M D (NPI 1851553804) is an individual family medicine provider in Los Angeles, California, licensed in California (A114074) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851553804
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIKUNJ M PATELCredential: M D
Location Address4511 WHITTIER BLVDLos Angeles, CA 90022-2407
Mailing Address4511 Whittier BlvdLos Angeles, CA 90022-2407 · (323) 264-2890 · Fax (323) 264-7150
Phone(323) 264-2890
Fax(323) 264-7150
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 1, 2008
Last NPPES UpdateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1851553804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A114074✔ Licensed in AR · E6538
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.
4511 WHITTIER BLVD, Los Angeles, CA 90022
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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

Nikunj M 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 ID2163614207
PECOS Enrollment IDI20150828002327
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 Nikunj Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choice Health Network
17 mi
Family Medicine
408 S BEACH BLVD STE 111
Anaheim, CA 92804
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1952073157 (714) 826-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 5

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
8 suppliers29 claims75 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims26 services$0.93 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 supplier12 claims12 services$67.60 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.66 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$21.26 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.

MARICELLE FAYE FLORES AGPC-NP
Nurse Practitioner (Primary Care)
4511 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 264-2890
IRIS KUO M.D.
Pediatrics
4511 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 264-2890
BEHAVIORAL HEALTH SERVICES, INC.
Clinic/Center (Community Health)
4511 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 264-2890
CYNTHIA AREVALO
Nurse Practitioner (Family)
4511 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 264-2890

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 Nikunj Patel's NPI number?

The NPI number for Nikunj Patel is 1851553804. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Nikunj Patel located?

Nikunj Patel practices at 4511 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (323) 264-2890.

What is Nikunj Patel's specialty?

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

Is Nikunj Patel enrolled in Medicare?

Yes. Nikunj 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 Nikunj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikunj Patel reassigns Medicare benefits to Choice Health Network (Anaheim, 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 Nikunj 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 Nikunj Patel was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.