Nisha Patel, M.D.
NPI 1235360926 · Specialist · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Patel, M.D. is a Specialist provider in Pittsburgh, PA (NPI 1235360926).
Provider details
- NPI number
- 1235360926
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 264760 (NY)
Specialties & taxonomies
Other Service Providers
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
16 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
2,114 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 1,587 | $84 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 180 | $53 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 143 | $139 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 121 | $123 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 44 | $184 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 43 | 37 |
| Famotidine | 42 | 35 |
| Gabapentin | 28 | 20 |
| Pantoprazole Sodium | 27 | 26 |
| Amlodipine Besylate | 23 | 22 |
| Apixabanbrand: Eliquis | 20 | 18 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$64 across 2 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
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2026-03-01
- Certified
- 2026-03-01
Frequently asked questions
- What is Nisha Patel's NPI number?
- Nisha Patel's National Provider Identifier (NPI) is 1235360926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Patel's specialty?
- Nisha Patel is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nisha Patel located?
- Nisha Patel's practice location on file with NPPES is 3471 5th Ave Ste 910, Pittsburgh, PA 15213-3221.
- What is Nisha Patel's phone number?
- The practice phone number listed in the NPPES registry for Nisha Patel is (412) 692-4400.
- Does Nisha Patel accept Medicare?
- Nisha Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Patel's NPI active?
- Yes — Nisha Patel's NPI (1235360926) is active in the NPPES registry as of the last update on 2026-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.