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DR. NILESH PATEL DPM
NPI 1851656318
Podiatrist - Foot & Ankle Surgery in Austin, TX

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
79.5/100
CMS Quality Rating
5920 W. WILLIAM CANNON DR. BLDG 6 SUITE 140, AUSTIN, TX 78749(503) 991-1819(866) 538-5162 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nilesh Patel Dpm NPPES

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

DR. NILESH PATEL DPM (NPI 1851656318) is an individual foot & ankle surgery provider in Austin, Texas, licensed in Texas (2171) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2012).

NPPES Registry Identity

NPI1851656318
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. NILESH PATELCredential: DPM
Location Address5920 W. WILLIAM CANNON DR. BLDG 6 SUITE 140Austin, TX 78749-2037
Mailing Address5920 W. William Cannon Dr. Bldg 6 Suite 140Austin, TX 78749-2037 · (512) 336-8909 · Fax (866) 538-5162
Phone(503) 991-1819
Fax(866) 538-5162
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2012
Enumeration DateJuly 11, 2012
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1851656318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TX · 2171
5920 W. WILLIAM CANNON DR. BLDG 6 SUITE 140, Austin, TX 78749
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company.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. Nilesh Patel Dpm 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 ID4082924725
PECOS Enrollment IDI20151109000206
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

2

Medicare enrollment records show Nilesh Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Svsn LLC
Same address
Foot & Ankle Surgery
5920 W WILLIAM CANNON DR BLDG 6
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
NPI 1356222046 (503) 991-1819
Atx Foot & Ankle PLLC
13 mi
Foot & Ankle Surgery
9012 RESEARCH BLVD, SUITE C-13
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1225407489 (405) 205-5966

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
454 services192 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
94 services94 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
21 services14 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
18 services14 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
16 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.27
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
53%43 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%641 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%136 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%136 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
27%3,181 patients1/55-star benchmark: 100%
e-Prescribing
100%178 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
1%1,562 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,867 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
89%570 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%216 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 511 patients
Patients totalRate: 1% · 511 patients
1%511 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1851656318. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Nilesh Patel located?

Nilesh Patel practices at 5920 W. William Cannon Dr. Bldg 6 Suite 140, Austin, TX 78749. The listed phone number is (503) 991-1819.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nilesh Patel enrolled in Medicare?

Yes. Nilesh 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 Nilesh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Patel reassigns Medicare benefits to 2 organizations: Svsn LLC (Austin, TX) and Atx Foot & Ankle PLLC (Austin, TX). 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 Nilesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nilesh Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and Oscar Insurance Company list Nilesh 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 Nilesh Patel was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.