Nirav Patel, M.D
NPI 1225335482 · Hematology & Oncology Physician · Green Bay, WI
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirav Patel, M.D is a Hematology & Oncology Physician provider in Green Bay, WI (NPI 1225335482).
Provider details
- NPI number
- 1225335482
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 70637 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
858 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 508 | $88 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 215 | $133 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 102 | $15 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 22 | $61 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 11 | $123 |
Typical Medicare-allowed amounts for these services range $15–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 158 | 41 |
| Abiraterone Acetate | 88 | 11 |
| Prednisone | 85 | 18 |
| Hydroxyurea | 75 | 12 |
| Apixabanbrand: Eliquis | 72 | 16 |
| Prochlorperazine Maleate | 40 | 20 |
| Ibrutinibbrand: Imbruvica | 35 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Nirav Patel's NPI number?
- Nirav Patel's National Provider Identifier (NPI) is 1225335482, 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 Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Nirav Patel located?
- Nirav Patel's practice location on file with NPPES is 2845 Greenbrier Rd, Green Bay, WI 54311-6519.
- What is Nirav Patel's phone number?
- The practice phone number listed in the NPPES registry for Nirav Patel is (920) 288-5400.
- 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 (1225335482) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.