Individual provider Active NPI

Nirali Y Patel, O.D

  • Optometrist
  • Brookline, MA
National Provider Identifier
1639401169
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4794 Issued in MA
Practice address
24 Webster PL
Brookline, MA 02445-7937
Phone
(617) 202-2020
Fax
(617) 734-3264
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2786 CT
Optometrist 152W00000X 4794 MA Primary

Addresses

Primary practice location

24 Webster PL
Brookline, MA 02445-7937

Mailing address

24 Webster PL
Brookline, MA 02445-7937
Phone (617) 202-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000109 MA Practitioner - Optometry 2163604208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Laser Eye Institute PCGroup PAC ID 9739123381, 23 clinicians

Practice addresses (Care Compare)

200 Fortune Blvd
Milford, MA 01757-1754
Phone (617) 202-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Laser Eye Institute, PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

159 River Rd
Ste 4
Andover, MA 01810

24 Webster Pl
Brookline, MA 02445

1101 Beacon St
Ste 6W
Brookline, MA 02446
Phone (617) 566-0062

172 Cambridge St
Ste 103
Burlington, MA 01803

25 Marston St
Ste 104
Lawrence, MA 01841
Phone (978) 685-5366

101 Main St
Ste 208
Medford, MA 02155
Phone (781) 395-5859

92 High St
Ste T31
Medford, MA 02155
Phone (781) 396-4010

200 Fortune Blvd
Milford, MA 01757

16 Asylum St
Milford, MA 01757
Phone (508) 478-3600

145 West St
Milford, MA 01757
Phone (508) 381-5600

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nirali.patel.p1@direct.bostoneyegroup.nextgenshare.com

Organizations & group practices 1

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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1639401169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-734-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-734-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRALI",
        "middle_name": "Y",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2786",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.