1. Home
  2. Directory
  3. California
  4. National City
  5. Internal Medicine
  6. NPI Profile

NIRALI P. PATEL M.D.
NPI 1891004305
Internal Medicine in National City, CA

Active since September 30, 2010PECOS EnrolledAccepts Medicare Assignment
94.54/100
CMS Quality Rating
2400 E 4TH ST, HOSPITALIST OFFICE, NATIONAL CITY, CA 91950(619) 472-4690 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nirali P. Patel M.d. NPPES

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

NIRALI P. PATEL M.D. (NPI 1891004305) is an individual internal medicine provider in National City, California, licensed in California (A114139) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in National City, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1891004305
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIRALI P. PATELCredential: M.D.
Location Address2400 E 4TH ST, HOSPITALIST OFFICENational City, CA 91950-2026
Mailing Address2400 E 4th St, Hospitalist OfficeNational City, CA 91950-2026 · (619) 472-4690
Phone(619) 472-4690
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 30, 2010
Last NPPES UpdateAugust 29, 2019
✔ NPI 1891004305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A114139
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.
2400 E 4TH ST, National City, CA 91950
Open in Google Maps ↗

Secondary Practice Location 1

Location 1610 Euclid Ave Ste 200National City, CA 91950-2951 · Phone (619) 267-9257 · Fax (619) 267-9273

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

Nirali P. 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 ID547439945
PECOS Enrollment IDI20110801000360
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 9

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.
3,168 services187 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.
1,112 services348 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.
361 services298 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.
263 services227 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.
223 services169 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
75 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91950 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

94.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.54
Improvement Activities40
Cost74.42

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
10%244 patients1/55-star benchmark: 85%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%208 patients2/55-star benchmark: 88%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 204 patients
0%204 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$14.04 avg. paid by Medicare
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
2 suppliers17 claims17 services$59.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims14 services$191.14 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.

ALLISON KORNBLATT M.D.
Emergency Medicine
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (917) 699-6856
ANTHONY DICARLO RN
Registered Nurse
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
MARIA G. PASCUA MS CCC-SLP
Speech-Language Pathologist
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 472-4577
ANTHONY R. FERKICH M.D.
Emergency Medicine
2400 E 4TH ST, EMERGENCY DEPARTMENT
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
EVELYN R. BLAZADO, M.D., INC.
Pathology (Anatomic Pathology & Clinical Pathology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
COLLEEN MARIE STALLMER CRNA
Nurse Anesthetist, Certified Registered
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
DOROTHY E. HAIRSTON M.D.
Hospitalist
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 472-4690
IMAGING MEDICAL ASSOCIATES, OF SAN DIEGO, INC.
Radiology (Diagnostic Radiology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321

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 Nirali Patel's NPI number?

The NPI number for Nirali Patel is 1891004305. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Nirali Patel located?

Nirali Patel practices at 2400 E 4th St Hospitalist Office, National City, CA 91950. The listed phone number is (619) 472-4690.

What is Nirali Patel's specialty?

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

Is Nirali Patel enrolled in Medicare?

Yes. Nirali 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.

When was this NPI record last updated?

The NPPES record for Nirali Patel was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.