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NEAL PATEL MD
NPI 1922426816
Urology in Flushing, NY

Active since March 29, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5842 MAIN ST, FLUSHING, NY 11355(718) 303-3720 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2024, Jun 18, 2024, Sep 1, 2022 and 1 more (4 updates tracked since 2020).

About Neal Patel Md NPPES

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

NEAL PATEL MD (NPI 1922426816) is an individual urology provider in Flushing, New York, licensed in New York (315880) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of George Washington University School Of Medicine (2014).

NPPES Registry Identity

NPI1922426816
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameNEAL PATELCredential: MD
Location Address5842 MAIN STFlushing, NY 11355-5336
Mailing Address5842 Main StFlushing, NY 11355-5336
Phone(718) 303-3720
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateMarch 29, 2014
Last NPPES UpdateJuly 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1922426816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NY · 315880✔ Licensed in CA · A168319
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5842 MAIN ST, Flushing, NY 11355
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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

Neal Patel Md 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 ID3274871504
PECOS Enrollment IDI20221019000679
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
198 services126 patients
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.
59 services51 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.
43 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
23 services19 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
23 services17 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MEYER DAVID GERSHBAUM MD
Specialist
5842 MAIN ST
FLUSHING, NY 11355
Queens County (718) 353-3710
MR. GERARD JUDE MARCIANO R.P.A.-C.
Physician Assistant (Surgical)
5842 MAIN ST
FLUSHING, NY 11355
Queens County (718) 353-3710
TARASUK & FARRELL UROLOGIOCAL ASSOCIATED
Urology
5842 MAIN ST
FLUSHING, NY 11355
Queens County (718) 353-3710
DR. ALBERT P TARASUK MD
Urology
5842 MAIN ST
FLUSHING, NY 11355
Queens County (718) 353-3710

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 Neal Patel's NPI number?

The NPI number for Neal Patel is 1922426816. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Where is Neal Patel located?

Neal Patel practices at 5842 Main St, Flushing, NY 11355. The listed phone number is (718) 303-3720.

What is Neal Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Neal Patel enrolled in Medicare?

Yes. Neal 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.

Is Neal Patel affiliated with any hospitals?

According to CMS data, Neal Patel is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Neal Patel was last updated on July 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.