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NIMESH R. PATEL M.D.
NPI 1982936522
Pathology - Molecular Genetic Pathology in Durham, NC

Active since February 08, 2010PECOS Enrolled
4001 E NC 54 HWY ASSEMBLY SUITE 1100, DURHAM, NC 27709(833) 464-7245 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2025, Oct 11, 2024, Dec 10, 2019 (3 updates tracked since 2019).

About Nimesh R. Patel M.d. NPPES

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

NIMESH R. PATEL M.D. (NPI 1982936522) is an individual molecular genetic pathology provider in Durham, North Carolina, licensed in North Carolina (306220) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982936522
Entity TypeIndividualMale
Primary Taxonomy207ZP0007X
Provider Legal NameNIMESH R. PATELCredential: M.D.
Location Address4001 E NC 54 HWY ASSEMBLY SUITE 1100Durham, NC 27709
Mailing Address4001 E Nc 54 Hwy Assembly Suite 1100Durham, NC 27709 · (833) 464-7245
Phone(833) 464-7245
Sole ProprietorNo
Enumeration DateFebruary 8, 2010
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1982936522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Molecular Genetic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0007X
Licenses✔ Licensed in NC · 306220✔ Licensed in CA · C196586✔ Licensed in MA · 290553✔ Licensed in TX · BP20047685
Definition
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MD447746 (PA), MD15093 (RI), BP10034558 (TX)
4001 E NC 54 HWY ASSEMBLY SUITE 1100, Durham, NC 27709
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nimesh R. Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nimesh Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Hospital
572 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27709 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Nimesh Patel's NPI number?

The NPI number for Nimesh Patel is 1982936522. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Where is Nimesh Patel located?

Nimesh Patel practices at 4001 E Nc 54 Hwy Assembly Suite 1100, Durham, NC 27709. The listed phone number is (833) 464-7245.

What is Nimesh Patel's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Molecular Genetic Pathology, with taxonomy code 207ZP0007X.

Is Nimesh Patel enrolled in Medicare?

Yes. Nimesh Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nimesh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nimesh Patel reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). The 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 Nimesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nimesh Patel was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.