Individual provider Active NPI

Nileshkumar Patel, MD

  • Interventional Pain Medicine Physician
  • Greenfield, WI
National Provider Identifier
1265530463
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
39918 Issued in WI
Practice address
4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057
Phone
(414) 325-7246
Fax
(414) 325-3770
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME90441 FL
Pain Medicine Physician 208VP0000X ME90441 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME90441 FL
Interventional Pain Medicine Physician 208VP0014X 39918 WI Primary

Addresses

Primary practice location

4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057

Mailing address

4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057
Phone (414) 325-7246

Other identifiers 3

IdentifierTypeStateIssuer
P00169335OtherFLRAILROAD MEDICARE
1285740720OtherFLGROUP NPI
50001OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000212 WI Practitioner - Pain ManagementPractitioner - Anesthesiology 9739085952
I20170320002314 FL Practitioner - Pain Management 9739085952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME90441FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Orthopedic Associates LLC CurrentSince Jan 9, 2017 Accepting new patients
Bradenton Outpatient Fluoroscopic Services LLC CurrentSince Jun 4, 2007 Accepting new patients
Sarasota Orthopedic Associates, LLC CurrentSince Jan 9, 2017 Accepting new patients
Advanced Pain Management, SC CurrentSince Dec 29, 2017 Accepting new patients
Advanced Pain Management SC Pain Medicine CurrentSince Dec 29, 2017 Accepting new patients

Locations

2750 Bahia Vista St
Ste 100
Sarasota, FL 34239

6230 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (813) 448-3848

1616 N Casaloma Dr
Appleton, WI 54913
Phone (920) 268-1516

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

2124 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 452-7246

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1265530463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILESHKUMAR",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME90441",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME90441",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME90441",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "39918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00169335",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1285740720",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "50001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.