DR. NILAY PATEL D.O.
NPI 1871768218
Family Medicine in Sanford, NC

Q: 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.

Q: What is Nilay Patel's specialty?

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

Q: 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.

Active since April 28, 2008PECOS Enrolled

555 CARTHAGE ST, SANFORD, NC 27330(919) 774-6518(919) 774-1831 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2021, Feb 18, 2019 (2 updates tracked since 2019).

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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

NPI1871768218

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NILAY PATELCredential: D.O.

Location Address555 CARTHAGE STSanford, NC 27330

Mailing Address205 Page RdPinehurst, NC 28374-8749 · (910) 295-5511

Phone(919) 774-6518

Fax(919) 774-1831

Sole ProprietorNo

Enumeration DateApril 28, 2008

Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1871768218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2006-01545

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.

555 CARTHAGE ST, Sanford, NC 27330

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Secondary Practice Locations 2

Location 164 Bleecker St # 151New York, NY 10012-2410 · Phone (800) 731-4254

Location 22523 Costmary Ln Unit 7Wilmington, NC 28412-5199 · Phone (910) 599-2516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nilay Patel D.o. 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.

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.

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.

11 services11 patients

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.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

KENDRA NICOLE BRANDT PA-C

Physician Assistant (Medical)