Nishant U. Patel, MD
NPI 1902399231ActiveIndividual· Family Medicine· Modesto, CA
Family Medicine (MD) with Sutter Valley Medical Foundation and 1 other group, practicing in Modesto, California. Their prescriptions cost Medicare Part D more than their services did: $1,336,685 for 10,375 claims, against $105,352 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 14 companies reporting payments in 2025, $454.85 in all, mostly food and beverage. Lists Doctors Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1902399231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 12, 2018 |
| Last updated in NPPES | Jul 28, 2021 |
| Certified by provider | Jul 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 173856 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019792A | IN |
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 - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 252 |
|---|---|
| Services billed | 2,371 across 39 procedure codes |
| Paid by Medicare | $105,352 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,375 · 21,702 30-day fills |
|---|---|
| Patients | 506 |
| Total drug cost | $1,336,685 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
- Shane Speirs MD PCManteca, CA · 13 clinicians
Hospital affiliations
- Doctors Medical CenterModesto, CA
- Memorial Medical CenterModesto, CA
- Sutter Tracy Community HospitalTracy, CA
Other facilities
- Careone Home Health and Hospice, IncHome health agency · Salida, CA
- Sutter Care at HomeHome health agency · Salida, CA
Industry payments (Open Payments)
- 2025$454.85 · 22 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $80.81 | 4 |
| Pfizer Inc. | $56.02 | 3 |
| Abbott Laboratories | $53.09 | 2 |
| Amgen Inc. | $45.71 | 2 |
| Novo Nordisk Inc | $42.60 | 2 |
What the 2025 payments were for
- Food and Beverage$454.85 · 22 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 205 family medicine physicians in Modesto · All family medicine physicians in California