Niral Patel, MD
NPI 1083239297 · General Practice Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niral Patel, MD is a General Practice Physician provider in Saint Louis, MO (NPI 1083239297).
Provider details
- NPI number
- 1083239297
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023004904 (MO)
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 tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
140 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 63 | $76 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 42 | $62 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 35 | $114 |
Typical Medicare-allowed amounts for these services range $62–$114 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 915 N Grand BlvdSaint Louis, MO 63106-1621Phone: (314) 652-4100
Registry dates
- Enumerated
- 2020-06-12
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Niral Patel's NPI number?
- Niral Patel's National Provider Identifier (NPI) is 1083239297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niral Patel's specialty?
- Niral Patel is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Niral Patel located?
- Niral Patel's practice location on file with NPPES is 4901 Forest Park Ave, Saint Louis, MO 63108-1495.
- What is Niral Patel's phone number?
- The practice phone number listed in the NPPES registry for Niral Patel is (314) 362-5060.
- Does Niral Patel accept Medicare?
- Niral Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niral Patel's NPI active?
- Yes — Niral Patel's NPI (1083239297) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.