Nirali Patel, MD - Medicare Endocrinology in Modesto, CA

Nirali Patel, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Modesto, California. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 524-1211.

Nirali Patel is licensed to practice in California (license number A80548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841256948.

Contact Information

Nirali Patel, MD
600 Coffee Rd,
Modesto, CA 95355-4201
(209) 524-1211
Not Available

Map and Direction




Physician's Profile

Full NameNirali Patel
GenderFemale
SpecialityEndocrinology
Experience26 Years
Location600 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nirali Patel graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1841256948
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 11/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4688695604
  • Enrollment ID: I20051216000774

Medical Identifiers

Medical identifiers for Nirali Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841256948NPI-NPPES
00A805480MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism A80548 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterModesto, CAHospital
Sutter Tracy Community HospitalTracy, CAHospital
Adventist Health SonoraSonora, CAHospital
Memorial Hospital Los BanosLos banos, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945151919

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. Nirali Patel allows following entities to bill medicare on her behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. Nirali 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
Nirali Patel, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211
Nirali Patel, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211

Reviews and Comments


Internal Medicine Doctors in Modesto, CA

Brian E. Dolnick, DO
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Esra Olgun, MD
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Phone: 209-521-6097    
Ronak Chandrakant Shah, M.D.
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Dr. Paul Golden, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350
Phone: 209-576-1547    Fax: 209-576-2736

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.