Niraj Patel, MD
NPI 1912996216 · Ophthalmology Physician · Tacoma, WA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Patel, MD is a Ophthalmology Physician provider in Tacoma, WA (NPI 1912996216).
Provider details
- NPI number
- 1912996216
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00040219 (WA)
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
20 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
2,517 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) |
|---|---|---|
| Measurement of Corneal Curvature and Depth of Eye92136 | 453 | $25 |
| Established Patient Complete Exam of Visual System92014 | 435 | $126 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 323 | $89 |
| Imaging of Retina92134 | 265 | $39 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 216 | $503 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 159 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 844 | 355 |
| Ketorolac Tromethamine | 681 | 294 |
| Moxifloxacin Hclbrand: Moxifloxacin | 660 | 296 |
| Latanoprost | 171 | 61 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 54 | 34 |
| Timolol Maleate | 48 | 20 |
| Loteprednol Etabonate | 41 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,593 across 19 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
- 2005-10-19
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Niraj Patel's NPI number?
- Niraj Patel's National Provider Identifier (NPI) is 1912996216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niraj Patel's specialty?
- Niraj Patel is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Patel located?
- Niraj Patel's practice location on file with NPPES is 3602 S 19th St, Tacoma, WA 98405-1919.
- What is Niraj Patel's phone number?
- The practice phone number listed in the NPPES registry for Niraj Patel is (253) 759-5555.
- Does Niraj Patel accept Medicare?
- Niraj Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niraj Patel's NPI active?
- Yes — Niraj Patel's NPI (1912996216) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.