DR. NIRAV SUBODH PATEL (D.P.M.) – Foot Surgery Podiatrist, NPI 1184828675

DR. NIRAV SUBODH PATEL (D.P.M.) is a healthcare provider. based in San marcos, California. specializing in Foot Surgery Podiatrist. They hold the professional credentials D.P.M.. They hold a License No. E4704 (CA). The NPI Number for DR. NIRAV SUBODH PATEL (D.P.M.) is 1184828675

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIRAV SUBODH PATEL (D.P.M.)
NPI
1184828675
Phone
(760) 510-5756
Address
400 CRAVEN RD
Enumeration Date
11 June 2007
Last Update Date
4 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8586165499
Graduation Year
2004 (22 years ago)
PAC ID
2668559741
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20080414000705

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. NIRAV SUBODH PATEL (D.P.M.)

  • 400, Craven Road, San Marcos, San Diego County, California, 92078, United States

    DEPT. OF PRIMARY CARE

    SAN MARCOS, CA 920784201

    Phone: (760) 510-5756

    Type: Location

  • 858, Dewitt Avenue, Encinitas, San Diego County, California, 92024, United States

    ENCINITAS, CA 920243606

    Phone: (760) 230-1300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Abbott Laboratories ($45).

Total Amount

$106

General + Research + Ownership

Payments

5

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-04-14

PECOS data refreshed: 2026-06-15

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
I20080414000705IPodiatryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92078)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

How do I look up DR. NIRAV SUBODH PATEL (D.P.M.) by NPI?
Use NPI 1184828675 when you need to reference DR. NIRAV SUBODH PATEL (D.P.M.) in forms, claims, or directories.
Is DR. NIRAV SUBODH PATEL (D.P.M.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. NIRAV SUBODH PATEL (D.P.M.) list a primary specialty?
If you are matching referrals, note Foot Surgery Podiatrist for DR. NIRAV SUBODH PATEL (D.P.M.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NIRAV SUBODH PATEL (D.P.M.)?
The page summarizes San Marcos, California for DR. NIRAV SUBODH PATEL (D.P.M.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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