Nirav Patel, M.D.
NPI 1316384167 · Family Medicine Physician · Menomonee Falls, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirav Patel, M.D. is a Family Medicine Physician provider in Menomonee Falls, WI (NPI 1316384167).
Provider details
- NPI number
- 1316384167
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
610 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 | 234 | $121 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 130 | $121 |
| 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 | 79 | $15 |
| Advance Care Planning, First 30 Minutes99497 | 52 | $75 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 49 | $162 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 133 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 477 | 131 |
| Losartan Potassium | 311 | 84 |
| Levothyroxine Sodium | 243 | 54 |
| Lisinopril | 239 | 61 |
| Pantoprazole Sodium | 233 | 60 |
| Amlodipine Besylate | 226 | 56 |
| Tamsulosin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Frequently asked questions
- What is Nirav Patel's NPI number?
- Nirav Patel's National Provider Identifier (NPI) is 1316384167, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nirav Patel located?
- Nirav Patel's practice location on file with NPPES is N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810.
- What is Nirav Patel's phone number?
- The practice phone number listed in the NPPES registry for Nirav Patel is (262) 251-7500.
- 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 (1316384167) is active in the NPPES registry as of the last update on 2022-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.