Individual provider Active NPI

Nikita Mohan Patel, M.D.

  • Rheumatology Physician
  • San Luis Obispo, CA
National Provider Identifier
1932511904
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A143360 Issued in CA
Practice address
1655 Dalidio Dr Unit 3151
San Luis Obispo, CA 93403-7007
Phone
(805) 316-0698
NPI assigned
May 27, 2014
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A143360 CA
Internal Medicine Physician 207R00000X MD2019-0933 NM
Internal Medicine Physician 207R00000X C1-0029077 DE
Internal Medicine Physician 207R00000X 60871 CO
Internal Medicine Physician 207R00000X 81419 MN
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A143360 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 60871 CO
Rheumatology Physician 207RR0500X C1-0029077 DE
Rheumatology Physician 207RR0500X A143360 CA Primary
Rheumatology Physician 207RR0500X 81419 MN

Addresses

Primary practice location

1655 Dalidio Dr Unit 3151
San Luis Obispo, CA 93403-7007

Mailing address

1655 Dalidio Dr Unit 3151
San Luis Obispo, CA 93403-7007
Phone (805) 316-0698

Other practice location 1

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000

Other practice location 2

501 W 14th St Fl 5
Wilmington, DE 19801-1013
Phone (302) 320-2490

Other practice location 3

1555 Cordova Dr
San Luis Obispo, CA 93405-4731
Phone (417) 875-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, DE, WA, MT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20161110001619 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5991084196 Reassigns benefits to 1 organization
I20251229000503 MN Practitioner - Rheumatology 5991084196 Reassigns benefits to 2 organizations
I20260225003981 DE Practitioner - RheumatologyPractitioner - Internal Medicine 5991084196 Reassigns benefits to 1 organization
I20260423002694 WA Practitioner - Neurology 5991084196 Reassigns benefits to 2 organizations
I20260608004041 MT Practitioner - RheumatologyPractitioner - Internal Medicine 5991084196

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

501 W 14TH St Wilmington Hospital
CCHS Rheumatology
Wilmington, DE 19801-1013
Phone (302) 320-2490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0029077DEMDInternal Medicine Physician
A143360CAMDGeriatric Medicine (Internal Medicine) Physician
60871COMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Rheumatology Medical Corp Rheumatology CurrentSince Feb 8, 2025 Accepting new patients
Christiana Care Health Services Inc. Rheumatology CurrentSince Feb 13, 2026 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2026 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2026 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2026 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 13, 2026 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Locations

1655 Dalidio Dr
Unit 3151
San Luis Obispo, CA 93403
Phone (805) 316-0698

4735 Ogletown Stanton Rd
Ste 2201
Newark, DE 19713
Phone (302) 320-2490

501 W 14th St
#5
Wilmington, DE 19801
Phone (302) 320-2490

501 W 14th St
Fl 5
Wilmington, DE 19801
Phone (302) 320-2490

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1875 Woodwinds Dr
Ste WL30
Woodbury, MN 55125

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1932511904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR UNIT 3151",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934037007",
            "telephone_number": "805-316-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR UNIT 3151",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934037007",
            "telephone_number": "805-316-0698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332522",
            "country_code": "US",
            "telephone_number": "763-236-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 14th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-320-2490",
            "fax_number": "302-623-4395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Cordova Dr",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934054731",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKITA",
        "middle_name": "MOHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A143360",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2019-0933",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0029077",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "60871",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "81419",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A143360",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "60871",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DE",
            "license": "C1-0029077",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A143360",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "81419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.