Niraj Patel, MD - Medicare Internal Medicine in Visalia, CA

Niraj Patel, MD is a medicare enrolled "Hospitalist" physician in Visalia, California. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Family Healthcare Network and his current practice location is 400 E Oak Ave, Visalia, California. You can reach out to his office (for appointments etc.) via phone at (559) 737-4700.

Niraj Patel is licensed to practice in California (license number A135336) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346506730.

Contact Information

Niraj Patel, MD
400 E Oak Ave,
Visalia, CA 93291-5034
(559) 737-4700
(559) 734-1247

Map and Direction




Physician's Profile

Full NameNiraj Patel
GenderMale
SpecialityInternal Medicine
Experience18 Years
Location400 E Oak Ave, Visalia, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Niraj Patel graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1346506730
  • Provider Enumeration Date: 04/10/2012
  • Last Update Date: 12/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8224260310
  • Enrollment ID: I20151123001620

Medical Identifiers

Medical identifiers for Niraj Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346506730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A135336 (California)Secondary
208M00000XHospitalist A135336 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaweah Delta Medical CenterVisalia, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Healthcare Network630575633946

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. Niraj Patel allows following entities to bill medicare on his behalf.
Entity NameFamily Healthcare Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164517744
PECOS PAC ID: 6305756339
Enrollment ID: O20040123000681

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. Niraj 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
Niraj Patel, MD
305 E Center Ave,
Visalia, CA 93291-6331

Ph: (559) 737-4700
Niraj Patel, MD
400 E Oak Ave,
Visalia, CA 93291-5034

Ph: (559) 737-4700

Reviews and Comments


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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.