Nikunj Patel, M.D
NPI 1548573405 · Internal Medicine Physician · Hanover, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikunj Patel, M.D is a Internal Medicine Physician provider in Hanover, PA (NPI 1548573405).
Provider details
- NPI number
- 1548573405
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 24128 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,335 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 636 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 295 | $106 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 260 | $105 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 84 | $160 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 39 | $124 |
| Critical Care, First 30-74 Minutes99291 | 21 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefuroxime Axetilbrand: Cefuroxime | 23 | 23 |
| Pantoprazole Sodium | 21 | 21 |
| Furosemide | 21 | 19 |
| Prednisone | 20 | 20 |
| Apixabanbrand: Eliquis | 18 | 17 |
| Atorvastatin Calcium | 17 | 17 |
| Metoprolol Tartrate |
Practice location
Mailing address
Additional practice locations (1)
- 601 Colliers WayWeirton, WV 26062-5014Phone: (304) 797-6000Fax: (304) 797-6176
Registry dates
- Enumerated
- 2010-07-21
- Last updated
- 2021-04-15
- Certified
- 2021-04-15
Frequently asked questions
- What is Nikunj Patel's NPI number?
- Nikunj Patel's National Provider Identifier (NPI) is 1548573405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikunj Patel's specialty?
- Nikunj Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nikunj Patel located?
- Nikunj Patel's practice location on file with NPPES is 300 Highland Ave, Hanover, PA 17331.
- What is Nikunj Patel's phone number?
- The practice phone number listed in the NPPES registry for Nikunj Patel is (717) 316-3711.
- Does Nikunj Patel accept Medicare?
- Nikunj Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nikunj Patel's NPI active?
- Yes — Nikunj Patel's NPI (1548573405) is active in the NPPES registry as of the last update on 2021-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.