NILESH PATEL (M.D.) – Internal Medicine Physician, NPI 1376860593
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,574 HOSPITALIST in NC
Provider Addresses for NILESH PATEL (M.D.)
138 W OLYMPIA ST
HERNANDO, FL 344428803
Phone: (352) 228-2769
Type: Mailing
2301 ERWIN RD
DURHAM, NC 277054699
Phone: (919) 684-8111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130806000643 | I | Hospitalist | NC | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 109 | 41 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 46 | 26 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 34442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | NC | |
| Family Practice | CO | |
| - | NC | |
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| - | NC | |
| Hospitalist, Internal Medicine | MA |
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