Individual provider Active NPI

Nilesh Haribhai Patel, M.D.

  • Vascular & Interventional Radiology Physician
  • Myrtle Beach, SC
National Provider Identifier
1467400580
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G075762 Issued in CA
Practice address
1303 Azalea CT Ste B
Myrtle Beach, SC 29577-5765
Phone
(843) 692-0570
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G75762 CA
Vascular & Interventional Radiology Physician 2085R0204X G075762 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X 93200 SC
Vascular & Interventional Radiology Physician 2085R0204X 56442 AZ
Vascular & Interventional Radiology Physician 2085R0204X 036106011 IL

Addresses

Primary practice location

1303 Azalea CT Ste B
Myrtle Beach, SC 29577-5765

Mailing address

5640 Mont Pelier CT
Reno, NV 89511-8022
Phone (312) 320-0112

Other identifiers 4

IdentifierTypeStateIssuer
0935687403MedicaidIL
P00463387OtherILMEDICARE RAILROAD
206147OtherILMEDICARE GROUP
3625139096019701OtherILCDH HFS GROUP PAYEE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ, CA, SC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040327000197 IL Practitioner - Diagnostic Radiology 2062304603 Reassigns benefits to 1 organization
I20181009001169 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2062304603 Reassigns benefits to 4 organizations
I20210310002849 CA Practitioner - Interventional Radiology 2062304603 Reassigns benefits to 5 organizations
I20241024000442 SC Practitioner - Interventional Radiology 2062304603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G075762CAMDVascular & Interventional Radiology Physician
G75762CAMDVascular & Interventional Radiology Physician
036106011ILMDVascular & Interventional Radiology Physician
93200SCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Oct 31, 2025 Accepting new patients
County of San Joaquin CurrentSince Oct 26, 2023 Accepting new patients
Alameda Health System Current Accepting new patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Dec 19, 2018 Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 23, 2020 Accepting new patients
Alameda Health System CurrentSince Oct 31, 2025 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Mar 13, 2023 Accepting new patients
County of San Joaquin CurrentSince Oct 26, 2023 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Mar 28, 2022 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Oct 9, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Oct 26, 2023 Accepting new patients
Banner-University Medical Group Diagnostic Radiology Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Musc Community Physicians CurrentSince Oct 9, 2024 Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Affiliated Radiologists, SC Specialist Past Accepting new patients
East Valley Diagnostic Imaging LLC Past Accepting new patients
Alameda Health System Past Accepting new patients
Steward Radiology Physicians of Pennsylvania Inc Diagnostic Radiology Past Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients
Associated Radiologists LTD Past Accepting new patients

Locations (25 of 79)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607

3645 S Rome St
Ste 101
Gilbert, AZ 85297

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1201 S Alma School Rd
Ste 14000
Mesa, AZ 85210
Phone (480) 545-8119

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

Interoperability endpoints

  • Direct secure messaging: npatel568735@hisp.ehr.sutterhealth.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1467400580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 MONT PELIER CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118022",
            "telephone_number": "312-320-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AZALEA CT STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775765",
            "telephone_number": "843-692-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILESH",
        "middle_name": "HARIBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G75762",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G075762",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "93200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "56442",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036106011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0935687403",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00463387",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDH HFS GROUP PAYEE ID",
            "identifier": "3625139096019701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.