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Nirav Patel, M.D.

NPI 1316384167ActiveIndividual· Family Medicine· Menomonee Falls, WI

Family Medicine (M.D.) in Menomonee Falls, Wisconsin, trained at University of Kentucky College of Medicine (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $579,980 for 7,877 claims, against $60,409 paid for services in 2024.

Overview

NPI1316384167
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedJun 3, 2013
Last updated in NPPESApr 28, 2022
Certified by providerApr 28, 2022

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients157
Services billed813 across 30 procedure codes
Paid by Medicare$60,409

Part D prescriptions in 2024

Prescriptions (claims)7,877 · 17,409 30-day fills
Patients482
Total drug cost$579,980
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Kentucky College of Medicine
Graduation year2013
Medicare specialtyFamily Practice

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Menomonee Falls

All 41 family medicine physicians in Menomonee Falls · All family medicine physicians in Wisconsin