Nirav Patel, MD
NPI 1215997374 · Specialist · Rock Hill, SC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirav Patel, MD is a Specialist provider in Rock Hill, SC (NPI 1215997374).
Provider details
- NPI number
- 1215997374
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 28669 (SC)
Specialties & taxonomies
Other Service Providers
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,043 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 | 184 | $117 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 141 | $84 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 122 | $234 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 116 | $154 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 95 | $167 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 42 | 42 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 34 | 34 |
| Ustekinumabbrand: Stelara | 33 | — |
| Omeprazole | 29 | 15 |
| Famotidine | 13 | — |
| Pantoprazole Sodium | 11 | — |
| Dicyclomine Hcl | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (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
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2011-06-10
Frequently asked questions
- What is Nirav Patel's NPI number?
- Nirav Patel's National Provider Identifier (NPI) is 1215997374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nirav Patel's specialty?
- Nirav Patel is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nirav Patel located?
- Nirav Patel's practice location on file with NPPES is 170 Amendment Ave, Rock Hill, SC 29732-3073.
- What is Nirav Patel's phone number?
- The practice phone number listed in the NPPES registry for Nirav Patel is (803) 324-7607.
- Does Nirav Patel accept Medicare?
- Nirav Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nirav Patel's NPI active?
- Yes — Nirav Patel's NPI (1215997374) is active in the NPPES registry as of the last update on 2011-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.