NIKETU PATEL (MD) – Otolaryngology Physician, NPI 1225015118

NIKETU PATEL (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD066998L (PA). The NPI Number for NIKETU PATEL (MD) is 1225015118

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
NIKETU PATEL (MD)
NPI
1225015118
Phone
(484) 884-4500
Address
PO BOX 783311
Enumeration Date
30 December 2005
Last Update Date
26 July 2018

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
4845917150
Graduation Year
1995 (31 years ago)
PAC ID
6709826852
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20110105001190
Address ID
PA180457991EA3701XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

642 OTOLARYNGOLOGY in PA

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Provider Addresses for NIKETU PATEL (MD)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • 1575, Pond Road, Parkside Courts, Allentown, Lehigh County, Pennsylvania, 18104, United States

    STE 203

    ALLENTOWN, PA 18104

    Phone: (610) 366-1366

    Fax: (610) 366-7412

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $873.

Total Amount is formed as General ($873) + Research ($0) + Ownership ($0) = $873.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($205).

Total Amount

$873

General + Research + Ownership

Payments

14

Total payment records

General Amount

$873

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2011-01-05

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
I20110105001190IOtolaryngologyPATBD

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
95165Professional service for preparation and provision of 1 or more antigens2,28160$0
95117Professional service for multiple injections of allergen51483$0
99214Established patient office or other outpatient visit, 30-39 minutes461319$0
31231Diagnostic exam of nasal passages using an endoscope334265$0
92557Comprehensive hearing and speech recognition test197189$0
View full utilization report →

Insurance plans in this area (ZIP 19178)

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Provider's Procedures

NIKETU PATEL (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYPA92540Observation, testing, and recording of abnormal eye movement1212
OTOLARYNGOLOGYPA92567Eardrum testing using ear probe136126

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: 3072425123View full group profile

Reviews

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Frequently asked questions

Does NIKETU PATEL (MD) have a public NPI I can cite?
Public records show NIKETU PATEL (MD) under NPI 1225015118.
Is NIKETU PATEL (MD) currently accepting referrals based on NPI status?
Registry metadata lists NIKETU PATEL (MD) as active.
What does the directory say NIKETU PATEL (MD) does?
Insurance directories may phrase it differently, but here NIKETU PATEL (MD) maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NIKETU PATEL (MD) in Philadelphia, Pennsylvania?
For routing, start with Philadelphia, Pennsylvania for NIKETU PATEL (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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