DR. NILAY PATEL D.O.
NPI 1871768218
Family Medicine in Sanford, NC
About Dr. Nilay Patel D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NILAY PATEL D.O. (NPI 1871768218) is an individual family medicine provider in Sanford, North Carolina, licensed in North Carolina (2006-01545) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nilay Patel D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nilay Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, NC 28540
- Reassigned Medicare billing, North Carolina enrollment
- 55 clinicians in this Medicare group
New York, NY 10012
- Reassigned Medicare billing, Georgia enrollment
- 52 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nilay Patel's NPI number?
The NPI number for Nilay Patel is 1871768218. It was assigned to this individual provider in the NPPES registry on April 28, 2008.
Where is Nilay Patel located?
Nilay Patel practices at 555 Carthage St, Sanford, NC 27330. The listed phone number is (919) 774-6518.
What is Nilay Patel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nilay Patel enrolled in Medicare?
Yes. Nilay Patel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nilay Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilay Patel reassigns Medicare benefits to 2 organizations: Med First Immediate Care & Family Practice, PA (Jacksonville, NC) and Galileo Medical Group Ga, P.C. (New York, NY). 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 Nilay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilay Patel accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Texas and 1 other insurer list Nilay 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 Nilay Patel was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Nilay Patel, D.O. · NPI 1871768218
Family Medicine physician in Sanford, North Carolina. Individual provider, active in the CMS NPPES registry since April 28, 2008.
## Identity
- **NPI:** 1871768218 (Entity type: Individual)
- **Enumerated:** April 28, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2006-01545 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 CARTHAGE ST, Sanford, NC 27330
- **Phone:** (919) 774-6518 · **Fax:** (919) 774-1831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Med First Immediate Care & Family Practice, PA (NPI 1053503763, Jacksonville, NC); Galileo Medical Group Ga, P.C. (NPI 1245920305, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1871768218) · Data from the CMS NPPES public registry.