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RAHUL NILESHKUMAR PATEL M.D.
NPI 1952759391
Internal Medicine - Nephrology in San Antonio, TX

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229(863) 370-3631 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 28, 2022, Aug 13, 2021, Apr 29, 2019 (3 updates tracked since 2019).

About Rahul Nileshkumar Patel M.d. NPPES

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

RAHUL NILESHKUMAR PATEL M.D. (NPI 1952759391) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (T2713) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1952759391
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAHUL NILESHKUMAR PATELCredential: M.D.
Location Address8300 FLOYD CURL DRSan Antonio, TX 78229-3931
Mailing Address5810 Worth Pkwy Apt 3125San Antonio, TX 78257-5517 · (863) 370-3631
Phone(863) 370-3631
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateApril 28, 20223 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1952759391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in TX · T2713✔ Licensed in GA · 91423
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
8300 FLOYD CURL DR, San Antonio, TX 78229
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506 · Phone (304) 293-4239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Rahul Nileshkumar 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 ID3072805993
PECOS Enrollment IDI20220708002878
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 5

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.
111 services91 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.
63 services27 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.
26 services15 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.
16 services15 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

SAPNA RAGHUNATHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9490
DR. THERESA LYNN STEWART M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9500
ANNETTE B MARTIN PT
Physical Therapist
8300 FLOYD CURL DR, 4TH FLOOR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9700
MATTHEW M BRIGMON MD
Internal Medicine (Infectious Disease)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9800
ASHLEY GERSHNER PA-C
Physician Assistant
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
LAAVANYA RAJU M.D.
Family Medicine
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9100
DR. AARON J.M. BOIS MD, MSC, FRCSC
Orthopaedic Surgery
8300 FLOYD CURL DR, 3RD FLOOR -3C
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
DR. PHILIP M JACOBS M.D.
Orthopaedic Surgery
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300

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 Rahul Patel's NPI number?

The NPI number for Rahul Patel is 1952759391. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Rahul Patel located?

Rahul Patel practices at 8300 Floyd Curl Dr, San Antonio, TX 78229. The listed phone number is (863) 370-3631.

What is Rahul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rahul Patel enrolled in Medicare?

Yes. Rahul 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 Rahul Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Rahul 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 Rahul Patel affiliated with any hospitals?

According to CMS data, Rahul Patel is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Rahul Patel was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.