Nilesh Patel, M.D.
NPI 1053397562 · Pulmonary Disease Physician · Salisbury, NC
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilesh Patel, M.D. is a Pulmonary Disease Physician provider in Salisbury, NC (NPI 1053397562).
Provider details
- NPI number
- 1053397562
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9800355 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,796 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 655 | $119 |
| Critical Care, First 30-74 Minutes99291 | 221 | $199 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 144 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 125 | $111 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 79 | $162 |
| Test to Determine Lung Volumes Using Sensors94726 | 72 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 188 | 79 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 163 | 46 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 98 | 33 |
| Montelukast Sodium | 82 | 31 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 80 | 22 |
| Prednisone | 64 | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,235 across 60 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 1969 Wellness BlvdMonroe, NC 28110-7763Phone: (704) 316-5775Fax: (704) 316-5815
- 612 Mocksville AveSalisbury, NC 28144-2732Phone: (704) 633-7220Fax: (704) 647-0515
- 611 Mocksville AveSalisbury, NC 28144-2705Phone: (704) 633-7220Fax: (704) 647-0515
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Nilesh Patel's NPI number?
- Nilesh Patel's National Provider Identifier (NPI) is 1053397562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilesh Patel's specialty?
- Nilesh Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Nilesh Patel located?
- Nilesh Patel's practice location on file with NPPES is 1809 Brenner Ave Ste 202, Salisbury, NC 28144-2567.
- What is Nilesh Patel's phone number?
- The practice phone number listed in the NPPES registry for Nilesh Patel is (704) 216-7040.
- Does Nilesh Patel accept Medicare?
- Nilesh Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilesh Patel's NPI active?
- Yes — Nilesh Patel's NPI (1053397562) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.