Nilay Patel, MD - Medicare Orthopaedic Surgery in Hiram, GA

Nilay Patel, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Hiram, Georgia. His current practice location is 2518 Jimmy Lee Smith Pkwy, Hiram, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 321-9900.

Nilay Patel is licensed to practice in Georgia (license number 92481) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356738108.

Contact Information

Nilay Patel, MD
2518 Jimmy Lee Smith Pkwy,
Hiram, GA 30141-2068
(404) 321-9900
Not Available

Map and Direction




Physician's Profile

Full NameNilay Patel
GenderMale
SpecialityOrthopaedic Surgery - Sports Medicine
Location2518 Jimmy Lee Smith Pkwy, Hiram, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356738108
  • Provider Enumeration Date: 04/20/2015
  • Last Update Date: 11/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911279351
  • Enrollment ID: I20220711001683

Medical Identifiers

Medical identifiers for Nilay Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356738108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 92481 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nilay Patel allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nilay Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nilay Patel, MD
2518 Jimmy Lee Smith Pkwy,
Hiram, GA 30141-2068

Ph: () -
Nilay Patel, MD
2518 Jimmy Lee Smith Pkwy,
Hiram, GA 30141-2068

Ph: (404) 321-9900

Reviews and Comments


Orthopaedic Surgery Doctors in Hiram, GA

Dr. Richard R. Maguire, M.D
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 148 Bill Carruth Parkway, Ste 120, Hiram, GA 30141
Phone: 770-445-5666    Fax: 770-445-0799
Dr. Anuj Patel, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141
Phone: 770-445-5666    
Dr. Jason Scott Andersen, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141
Phone: 943-202-7010    Fax: 470-986-7005

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.