NAINESH M PATEL (MD) – Cardiovascular Disease Physician, NPI 1043290372

NAINESH M PATEL (MD) is a healthcare provider. based in Pottstown, Pennsylvania. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. MD044234E (PA). The NPI Number for NAINESH M PATEL (MD) is 1043290372

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
NAINESH M PATEL (MD)
NPI
1043290372
Phone
(610) 327-4200
Address
1601 MEDICAL DR
Enumeration Date
20 January 2006
Last Update Date
17 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109831530
Graduation Year
1982 (44 years ago)
PAC ID
0749370674
Group Practice PAC ID
5799796850
Professional Enrollment ID
I20090115000531
Address ID
PA194604478PH824XXSTXX314
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for NAINESH M PATEL (MD)

  • Pottstown Hospital Imaging Center, 1616, Medical Drive, Pottstown, Montgomery County, Pennsylvania, 19464, United States

    POTTSTOWN, PA 194643241

    Phone: (610) 327-4200

    Fax: (610) 327-8160

    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 12 Open Payments records for all available years, with a total value of $495.

Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Shockwave Medical, Inc ($202).

Total Amount

$495

General + Research + Ownership

Payments

12

Total payment records

General Amount

$495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2009-01-15

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
I20090115000531ICardiovascular Disease (Cardiology)PATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,6961,146$0
99214Established patient office or other outpatient visit, 30-39 minutes748567$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report669651$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function580569$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes208193$0
View full utilization report →

Insurance plans in this area (ZIP 19464)

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Provider's Procedures

NAINESH M PATEL (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies172172
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1079772

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: 5799796850View full group profile
NameSpecialtyState
-PA
General SurgeryPA
Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology)PA
Internal Medicine, Cardiovascular Disease (Cardiology)PA
-PA
-PA
Hospice/Palliative Care, Internal MedicinePA
Family PracticePA
Cardiovascular Disease (Cardiology)PA

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Frequently asked questions

Is there an official ID for NAINESH M PATEL (MD) in U.S. healthcare records?
The official identifier for NAINESH M PATEL (MD) is NPI 1043290372.
Is NAINESH M PATEL (MD) shown as active in public data?
Registry records indicate NAINESH M PATEL (MD) maintains an active NPI.
What area of care is associated with NAINESH M PATEL (MD)?
NAINESH M PATEL (MD)'s record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is NAINESH M PATEL (MD) located near Pottstown?
NAINESH M PATEL (MD) currently maps to Pottstown, Pennsylvania in this extract.
Does NAINESH M PATEL (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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