Nirav D. Patel, M.D
NPI 1225335482ActiveIndividual· Internal Medicine, Hematology & Oncology· Green Bay, WI
Internal Medicine, Hematology & Oncology (M.D) with Aurora Medical Group, Inc. and 1 other group, practicing in Green Bay, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $2,998,626 for 1,221 claims, against $59,805 paid for services in 2024. Lists Aurora Baycare Medical Ctr and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1225335482 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | Yes |
| NPI issued | Feb 23, 2011 |
| Last updated in NPPES | May 7, 2025 |
| Certified by provider | May 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | 70637 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Medical Oncology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 898 across 14 procedure codes |
| Paid by Medicare | $59,805 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,221 · 1,910 30-day fills |
|---|---|
| Patients | 199 |
| Total drug cost | $2,998,626 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Medical Oncology |
| Telehealth | Offers telehealth |
Medical groups
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
- Baycare Aurora LLCGreen Bay, WI · 194 clinicians
Hospital affiliations
- Aurora Baycare Medical CtrGreen Bay, WI
- Aurora Medical Center Bay AreaMarinette, WI
- Aurora Medical Ctr Manitowoc CountyTwo Rivers, WI
Other facilities
- Unity HospiceHospice · De Pere, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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