NISHA PATEL (PA) – Physician Assistant, NPI 1083175236

NISHA PATEL (PA) is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9111830 (FL). The NPI Number for NISHA PATEL (PA) is 1083175236

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NISHA PATEL (PA)
NPI
1083175236
Phone
(248) 659-2718
Address
2902 59TH ST W STE C
Enumeration Date
29 March 2019
Last Update Date
4 April 2019

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3523154111
Graduation Year
2018 (8 years ago)
PAC ID
9234462706
Group Practice PAC ID
8921000787
Professional Enrollment ID
I20190617000177
Address ID
FL347484350LE822XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for NISHA PATEL (PA)

  • 2902, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342097021

    Phone: (248) 659-2718

    Fax: (941) 444-4156

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $883.

Total Amount is formed as General ($883) + Research ($0) + Ownership ($0) = $883.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($303).

Total Amount

$883

General + Research + Ownership

Payments

51

Total payment records

General Amount

$883

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2019-06-17

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
I20190617000177IPhysician AssistantFLTBD

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 minutes829604$0
99213Established patient office or other outpatient visit, 20-29 minutes392368$0
99204New patient office or other outpatient visit, 45-59 minutes228228$0
99203New patient office or other outpatient visit, 30-44 minutes164164$0
99212Established patient office or other outpatient visit, 10-19 minutes129129$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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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: 8921000787View full group profile
NameSpecialtyState
-FL
Gastroenterology, Internal MedicineFL
Nurse PractitionerMD
-FL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for NISHA PATEL (PA) in U.S. healthcare records?
The official identifier for NISHA PATEL (PA) is NPI 1083175236.
Is NISHA PATEL (PA) still an active registrant?
NISHA PATEL (PA) carries an active NPI according to the public dataset.
What kind of doctor is NISHA PATEL (PA)?
NISHA PATEL (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is NISHA PATEL (PA) located near Bradenton?
NISHA PATEL (PA) currently maps to Bradenton, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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