NIKHIL PATEL MD
NPI 1861627739
Anesthesiology - Pediatric Anesthesiology in Washington, DC

Active since May 21, 2009PECOS Enrolled
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 537-4000 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2023, Dec 17, 2019 (2 updates tracked since 2019).

About Nikhil Patel Md NPPES

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

NIKHIL PATEL MD (NPI 1861627739) is an individual pediatric anesthesiology provider in Washington, District Of Columbia, licensed in Maryland (D84892) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1861627739
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameNIKHIL PATELCredential: MD
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-1340
Sole ProprietorNo
Enumeration DateMay 21, 2009
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1861627739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Licenses✔ Licensed in MD · D84892✔ Licensed in DC · MD041231✔ Licensed in FL · ME119865
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
5255 LOUGHBORO RD NW, Washington, DC 20016

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 933-1340

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikhil Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Nikhil Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
Anesthesiology
5900 WATERLOO RD
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: University Of Maryland Anesthesiology Associates PA
  • 303 clinicians in this Medicare group
Radiation Oncology
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 42 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Nikhil Patel's NPI number?

The NPI number for Nikhil Patel is 1861627739. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Nikhil Patel located?

Nikhil Patel practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 537-4000.

What is Nikhil Patel's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Nikhil Patel enrolled in Medicare?

Yes. Nikhil Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nikhil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Patel reassigns Medicare benefits to 3 organizations: Children's Hospital (Washington, DC), University Of Maryland Anesthesiology Associates P.A. (Columbia, MD) and Johns Hopkins University (Baltimore, MD). 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 Nikhil 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 Nikhil Patel was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.