Nikunj Prafulbhai Patel, M.D
NPI 1548573405ActiveIndividual· Internal Medicine· Hanover, PA
Internal Medicine (M.D) with Penn State Health Medical Group LLC and 1 other group, practicing in Hanover, Pennsylvania. In 2024 Medicare paid $100,887 for 470 patients, and Part D covered 525 of their prescriptions, 86% of them generic. Lists Lehigh Valley Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1548573405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Jul 21, 2010 |
| Last updated in NPPES | Apr 15, 2021 |
| Certified by provider | Apr 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD453538 | PA |
| Internal Medicine | 207R00000X | 24128 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 470 |
|---|---|
| Services billed | 1,342 across 9 procedure codes |
| Paid by Medicare | $100,887 |
Part D prescriptions in 2024
| Prescriptions (claims) | 525 · 568 30-day fills |
|---|---|
| Patients | 259 |
| Total drug cost | $30,843 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Penn State Health Medical Group LLCCamp Hill, PA · 734 clinicians
- Integrated Medical Group P CPottsville, PA · 107 clinicians
Hospital affiliations
- Lehigh Valley HospitalAllentown, PA
- Milton S Hershey Medical CenterHershey, PA
- Penn State Health Hampden Medical CenterEnola, PA
- Penn State Health Holy Spirit Medical CenterCamp Hill, PA
- Schuylkill Medical Center - South Jackson StreetPottsville, PA
Other facilities
- Amedisys Home HealthHome health agency · Lancaster, PA
- Lehigh Valley Health NetworkHome health agency · Saint Clair, PA
- Lehigh Valley Hospital-SchuylkillInpatient rehabilitation facility · Pottsville, PA
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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All 36 internal medicine physicians in Hanover · All internal medicine physicians in Pennsylvania