DR. NILESH M PATEL MD
NPI 1952374282
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dearborn, MI

Q: What is Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1952374282. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on February 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

78.07/100

CMS Quality Rating

21031 MICHIGAN AVE, DEARBORN, MI 48124(313) 277-6700(313) 277-2483 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Nilesh M Patel Md NPPES

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

DR. NILESH M PATEL MD (NPI 1952374282) is an individual orthopaedic surgery of the spine provider in Dearborn, Michigan, licensed in Michigan (4301085091) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Northeastern Ohio University College Of Medicine (1999).

NPPES Registry Identity

NPI1952374282

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. NILESH M PATELCredential: MD

Location Address21031 MICHIGAN AVEDearborn, MI 48124-2339

Mailing Address21031 Michigan AveDearborn, MI 48124-2339 · (313) 277-6700 · Fax (313) 277-2483

Phone(313) 277-6700

Fax(313) 277-2483

Sole ProprietorYes

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1999

Enumeration DateFebruary 8, 2006

Last NPPES UpdateFebruary 27, 2019

✔ NPI 1952374282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in MI · 4301085091

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301085091 (MI)

21031 MICHIGAN AVE, Dearborn, MI 48124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Nilesh M 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 ID9133191281

PECOS Enrollment IDI20050809000097

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 23

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.

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

281 services252 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

144 services114 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

134 services120 patients

New patient office or other outpatient visit, 45-59 minutes 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.

119 services119 patients

New patient office or other outpatient visit, 60-74 minutes 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.

103 services103 patients

Established patient office or other outpatient visit, 40-54 minutes 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.

103 services88 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

101 services85 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

84 services56 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

41 services26 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

31 services30 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

28 services21 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

27 services24 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

24 services20 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

22 services11 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

16 services16 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

16 services16 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

14 services11 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

13 services13 patients

New patient office or other outpatient visit, 30-44 minutes 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.

12 services12 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

11 services11 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

11 services11 patients

Spinal fusion NAN02

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

0 services102 patients

Laminectomy or laminotomy (partial removal of spine bones) NAN18

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

0 services99 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230142

Location33155 Annapolis AveWayne, MI 48184 · Wayne County

Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230176

Location5450 Fort StreetTrenton, MI 48183 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230270

Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County

Emergency services

Surgeons Choice Medical Center

Acute Care Hospitals · Southfield, MI

OwnershipProprietary

CMS Certification Number230301

Location22401 Foster Winter DriveSouthfield, MI 48075 · Oakland County

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.

78.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

74.88

Promoting Interoperability

100

Improvement Activities

Cost

49.3

Reported Quality Measures

Advance Care Plan

0%248 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

51%651 patients2/55-star benchmark: 100%

e-Prescribing

99%1,886 patients4/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

0%28 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

56%524 patients3/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 189 patients

Patients screened: 97% · 189 patients

86%29 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%1,369 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 251 patients

Patients totalRate: 0% · 251 patients

0%251 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 4

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

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier12 claims12 services$58.86 avg. paid by Medicare

Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) L0120

DME-Orthotic Devices · category DF000N

3 suppliers24 claims24 services$21.12 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

2 suppliers22 claims22 services$584.39 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0651

DME-Orthotic Devices · category DF007N

1 supplier35 claims35 services$570.77 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.

MICHAEL V BALDWIN

Physician Assistant (Surgical)

21031 MICHIGAN AVE
DEARBORN, MI 48124

Wayne County (313) 277-6700

LAWRENCE G MORAWA MD PC

Orthopaedic Surgery

21031 MICHIGAN AVE
DEARBORN, MI 48124

Wayne County (313) 277-3585

OSTEOPOROSIS TREATMENT CENTERS OF AMERICA, PC

Clinic/Center (Medical Specialty)

21031 MICHIGAN AVE
DEARBORN, MI 48124

Wayne County (313) 277-6700

MICHIGAN ORTHOPAEDIC TRAUMA SPECIALISTS PC

Orthopaedic Surgery (Orthopaedic Trauma)

21031 MICHIGAN AVE
DEARBORN, MI 48124

Wayne County (313) 277-6700

SILBERG-WATERWORKS PC

Orthopaedic Surgery

21031 MICHIGAN AVE, SUITE 200
DEARBORN, MI 48124

Wayne County (313) 277-6700

FAULKNER-WATERWORKS PC

Orthopaedic Surgery

21031 MICHIGAN AVE, SUITE 200
DEARBORN, MI 48124

Wayne County (313) 277-6700

FINCH-WATERWORKS PC

Orthopaedic Surgery

21031 MICHIGAN AVE, SUITE 200
DEARBORN, MI 48124

Wayne County (313) 277-6700

MILIA-WATERWORKS PC

Orthopaedic Surgery

21031 MICHIGAN AVE, SUITE 200
DEARBORN, MI 48124

Wayne County (313) 277-6700

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 Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1952374282. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Nilesh Patel located?

Nilesh Patel practices at 21031 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 277-6700.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Nilesh Patel enrolled in Medicare?

Yes. Nilesh 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 Nilesh Patel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nilesh 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 Nilesh Patel affiliated with any hospitals?

According to CMS data, Nilesh Patel is affiliated with Beaumont Hospital - Dearborn, Corewell Health Wayne Hospital, Corewell Health Trenton Hospital, Beaumont Hospital - Taylor and Surgeons Choice Medical Center.

When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on February 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.