Nisha Patel, M.D.
NPI 1538304597 · Gastroenterology Physician · Lake Charles, LA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Patel, M.D. is a Gastroenterology Physician provider in Lake Charles, LA (NPI 1538304597).
Provider details
- NPI number
- 1538304597
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD.208021 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
1,717 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 345 | $235 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 237 | $62 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 225 | $116 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 218 | $76 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 121 | $162 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 258 | 130 |
| Omeprazole | 44 | 18 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 27 | 27 |
| Famotidine | 24 | 12 |
| Ursodiol | 22 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 15 | 15 |
| 0.9 % Sodium Chloridebrand: Sodium Chloride | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,960 across 78 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
- 2008-12-04
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Nisha Patel's NPI number?
- Nisha Patel's National Provider Identifier (NPI) is 1538304597, 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 Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nisha Patel located?
- Nisha Patel's practice location on file with NPPES is 555 Dr. Michael Debakey Drive, Lake Charles, LA 70601-5700.
- What is Nisha Patel's phone number?
- The practice phone number listed in the NPPES registry for Nisha Patel is (337) 439-0762.
- 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 (1538304597) is active in the NPPES registry as of the last update on 2020-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.