NIHAL PATEL
NPI 1922341676
Internal Medicine - Pulmonary Disease in Allentown, PA

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-9116(610) 402-9610 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2022, Sep 14, 2021 (2 updates tracked since 2021).

About Nihal Patel NPPES

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

NIHAL PATEL (NPI 1922341676) is an individual pulmonary disease provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD458196) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1922341676
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNIHAL PATEL
Location Address1250 S CEDAR CREST BLVDAllentown, PA 18103-6224
Mailing Address2100 Mack BlvdAllentown, PA 18103-5622 · (484) 884-0617 · Fax (484) 884-0628
Fax(610) 402-9610
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
NPI 1922341676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD458196
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD458196 (PA)
1250 S CEDAR CREST BLVD, Allentown, PA 18103

Secondary Practice Location 1

Location 1833 Chestnut St, Suite 701Philadelphia, PA 19107-4414 · Phone (215) 955-6180 · Fax (215) 955-6410

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

Nihal Patel 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 ID143528471
PECOS Enrollment IDI20160729001289
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 12

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.
155 services111 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
77 services42 patients
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.
71 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
47 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers13 claims26 services$1.57 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$15.94 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers28 claims28 services$5.11 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
4 suppliers46 claims46 services$81.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$33.36 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers17 claims4,748 services$0.03 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.

Orthopaedic Surgery
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Physical Therapist (Orthopedic)
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Physical Therapist (Orthopedic)
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Registered Nurse (Orthopedic)
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Registered Nurse (Orthopedic)
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Internal Medicine (Cardiovascular Disease)
1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD, STE 205
ALLENTOWN, PA 18103
Orthopaedic Surgery
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103

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 Nihal Patel's NPI number?

The NPI number for Nihal Patel is 1922341676. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Nihal Patel located?

Nihal Patel practices at 1250 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-9116.

What is Nihal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nihal Patel enrolled in Medicare?

Yes. Nihal 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 Nihal Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nihal 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 Nihal Patel affiliated with any hospitals?

According to CMS data, Nihal Patel is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Nihal Patel was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.