Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIKITA MOHAN PATEL M.D.
NPI 1932511904
Internal Medicine - Rheumatology in San Luis Obispo, CA

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1655 DALIDIO DR UNIT 3151, SAN LUIS OBISPO, CA 93403(805) 316-0698 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Jul 29, 2026, Mar 21, 2025 and 8 more (11 updates tracked since 2016).

About Nikita Mohan Patel M.d. NPPES

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

NIKITA MOHAN PATEL M.D. (NPI 1932511904) is an individual rheumatology provider in San Luis Obispo, California, licensed in California (A143360) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932511904
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNIKITA MOHAN PATELCredential: M.D.
Location Address1655 DALIDIO DR UNIT 3151San Luis Obispo, CA 93403-7007
Mailing Address1655 Dalidio Dr Unit 3151San Luis Obispo, CA 93403-7007 · (805) 316-0698
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateSeptember 9, 202611 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1932511904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in CA · A143360✔ Licensed in DE · C1-0029077✔ Licensed in MN · 81419
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A143360 (CA), MD2019-0933 (NM), C1-0029077 (DE), 60871 (CO), 81419 (MN)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A143360 (CA), 60871 (CO)
1655 DALIDIO DR UNIT 3151, San Luis Obispo, CA 93403

Secondary Practice Locations 3

Location 11555 Cordova DrSan Luis Obispo, CA 93405-4731 · Phone (417) 875-3000
Location 2501 W 14th St Fl 5Wilmington, DE 19801-1013 · Phone (302) 320-2490 · Fax (302) 623-4395
Location 34050 Coon Rapids Blvd NWCoon Rapids, MN 55433-2522 · Phone (763) 236-6000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikita Mohan 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 ID5991084196
PECOS Enrollment IDI20161110001619, I20260225003981
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Nikita Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
Critical Access
1221 HIGHLAND AVE
Clarkston, WA 99403
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1598814352 (Washington)
  • 144 clinicians in this Medicare group
Family Medicine
515 SOUTH FRONT ST
Townsend, MT 59644
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Peters Health
  • 304 clinicians in this Medicare group
Rheumatology
3555 S NATIONAL AVE STE 102
Springfield, MO 65807
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Pediatrics
111 HUNDERTMARK RD STE 210
Chaska, MN 55318
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
Family Medicine
722 YORKLYN RD STE 400
Hockessin, DE 19707
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 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 3

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.
146 services96 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.
106 services69 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93403 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Internal Medicine (Rheumatology)
1655 DALIDIO DR UNIT 3151
SAN LUIS OBISPO, CA 93403

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 Nikita Patel's NPI number?

The NPI number for Nikita Patel is 1932511904. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Nikita Patel located?

Nikita Patel practices at 1655 Dalidio Dr Unit 3151, San Luis Obispo, CA 93403. The listed phone number is (805) 316-0698.

What is Nikita Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nikita Patel enrolled in Medicare?

Yes. Nikita 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.

Which organizations bill Medicare for Nikita Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikita Patel reassigns Medicare benefits to 10 organizations: Telehealth Specialty Medical Group (Roseville, CA), Tri-State Memorial Hospital (Clarkston, WA), St. Peter's Health (Townsend, MT), Lester E Cox Medical Centers (Springfield, MO), Fairview Express Care (Chaska, MN) and 5 more organizations, listed in the Medicare section above. 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 Nikita Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikita Patel accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Montana, Highmark Blue Cross Blue Shield Delaware, Mountain Health CO-OP and Providence Health Plan and 1 other insurer list Nikita 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 Nikita Patel affiliated with any hospitals?

According to CMS data, Nikita Patel is affiliated with Cox Medical Centers.

When was this NPI record last updated?

The NPPES record for Nikita Patel was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.