Active NPI
Nisarg Bipin Patel, M.D.
- Hospitalist Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD456408
- Practice address
- 252 S 4TH St
Lebanon, PA 17042-6111 - Phone
- (717) 270-4876
- Fax
- (717) 270-3875
- NPI assigned
- Apr 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD456408 | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD456408 | PA |
Addresses
Primary practice location
252 S 4TH St
Lebanon, PA 17042-6111
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103120159 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Pennsylvania State University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD456408 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Good Samaritian Physician Services | Internal Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Good Samaritan Hospital of Lebanon, Pennsylvania | Past | Accepting new patients |
Locations
844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875
720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- npatel38966@wellspan.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Alpine Valley Post Acute and Healthcare Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 27, 2024 Dec 27, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Lebanon, PA
- NPI 1063240596
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Urology Physician
- Lebanon, PA
- NPI 1558749846
-
- Geriatric Medicine (Internal Medicine) Physician
- York, PA
- NPI 1508632803
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Surgery Physician
- York, PA
- NPI 1619305505
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1962745430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 S 4TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426111",
"telephone_number": "717-270-4876",
"fax_number": "717-270-3875"
}
],
"practiceLocations": [
{
"address_1": "720 Norman Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427481",
"country_code": "US",
"telephone_number": "717-639-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NISARG",
"middle_name": "BIPIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD456408",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD456408",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103120159",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.