NISARG V PATEL M.D.
NPI 1861886301
Internal Medicine in Columbus, OH

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-8883(614) 566-8149 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nisarg V Patel M.d. NPPES

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

NISARG V PATEL M.D. (NPI 1861886301) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.134225) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861886301
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNISARG V PATELCredential: M.D.
Location Address111 S GRANT AVEColumbus, OH 43215-4701
Mailing Address3231 Euclid Ave, Suite 203Berwyn, IL 60402-3471 · (708) 783-7138 · Fax (708) 783-0060
Fax(614) 566-8149
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2015
Last NPPES UpdateApril 17, 2019
NPI 1861886301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.134225
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

111 S GRANT AVE, Columbus, OH 43215

Other Identifiers 1

Medicaid0299174OH

Accepted 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

Nisarg V 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 ID1355602186
PECOS Enrollment IDI20180806003072
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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 supplier13 claims13 services$69.80 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215

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 Nisarg Patel's NPI number?

The NPI number for Nisarg Patel is 1861886301. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Nisarg Patel located?

Nisarg Patel practices at 111 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 566-8883.

What is Nisarg Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nisarg Patel enrolled in Medicare?

Yes. Nisarg 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 Nisarg Patel accept?

Health plans from CareSource list Nisarg 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 Nisarg Patel affiliated with any hospitals?

According to CMS data, Nisarg Patel is affiliated with Grant Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Nisarg Patel was last updated on April 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.