DR. NICHOLAS A PATELLIS (M.D.) – Internal Medicine Physician, NPI 1366582835

DR. NICHOLAS A PATELLIS (M.D.) is a healthcare provider. based in Madison, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD.30132 (AL). The NPI Number for DR. NICHOLAS A PATELLIS (M.D.) is 1366582835

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS A PATELLIS (M.D.)
NPI
1366582835
Phone
(256) 428-1096
Address
3809 SULLIVAN ST
Enumeration Date
7 February 2007
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
2564281096
Graduation Year
2003 (23 years ago)
PAC ID
3274694864
Group Practice PAC ID
2163879776
Professional Enrollment ID
I20100621000383
Address ID
AL357582008MA382XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

Provider Addresses for DR. NICHOLAS A PATELLIS (M.D.)

  • 3809 SULLIVAN ST

    SUITE 7

    MADISON, AL 357582372

    Phone: (256) 428-1096

    Fax: (256) 428-1097

    Type: Mailing

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (800) 480-5243

    Fax: (800) 928-7449

    Type: Mailing

  • 382 SLAUGHTER RD

    MADISON, AL 357582008

    Phone: (256) 428-1096

    Fax: (256) 428-1098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $642.

Total Amount is formed as General ($642) + Research ($0) + Ownership ($0) = $642.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($373).

Total Amount

$642

General + Research + Ownership

Payments

74

Total payment records

General Amount

$642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100621000383IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,442646$0
99213Established patient office or other outpatient visit, 20-29 minutes301246$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit294294$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report251247$0
J1100Injection, dexamethasone sodium phosphate, 1 mg24855$0
View full utilization report →

Insurance plans in this area (ZIP 35758)

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Provider's Procedures

DR. NICHOLAS A PATELLIS (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL17003Destruction of 2-14 skin growths6018
INTERNAL MEDICINEAL83036Hemoglobin A1C level317160
INTERNAL MEDICINEAL90670Pneumococcal vaccine for injection into muscle9492
INTERNAL MEDICINEAL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2826

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163879776View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerTN
Nurse PractitionerAL
Family PracticeAL
Family PracticeAL
Internal MedicineAL
Physician AssistantWA
Nurse PractitionerTN
Nurse PractitionerAL
Family PracticeFL

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Frequently asked questions

Can I verify DR. NICHOLAS A PATELLIS (M.D.) with an NPI only?
You can start verification with NPI 1366582835 for DR. NICHOLAS A PATELLIS (M.D.), then check state licensing separately.
Does the file indicate DR. NICHOLAS A PATELLIS (M.D.) is practicing under active NPI?
Directory data currently reports DR. NICHOLAS A PATELLIS (M.D.) as active.
What taxonomy line describes DR. NICHOLAS A PATELLIS (M.D.)?
For research purposes, treat DR. NICHOLAS A PATELLIS (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. NICHOLAS A PATELLIS (M.D.) list a practice location?
Patients near Madison, Alabama may find DR. NICHOLAS A PATELLIS (M.D.) in results; validate coverage separately.
Why does DR. NICHOLAS A PATELLIS (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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