Dr. Nirali P. Patel, MD

Dr. Patel practices at Paradise Valley Hospital in National City, California, part of Prime Healthcare Services.

Dr. Patel's NPI, 1891004305, was assigned on September 30, 2010. Dr. Patel holds California license A114139.

Dr. Patel's primary practice is Paradise Valley Hospital, at 2400 East 4th St, National City, CA 91950 in San Diego County. The practice phone is (619) 470-4321.

Dr. Patel's primary practice is Paradise Valley Hospital in National City, California, part of Prime Healthcare Services. Dr. Patel is also affiliated with Scripps Mercy Hospital San Diego. The medical group on file is Pacific Health Systems. Dmand AI also links Dr. Patel to 3 more medical groups, 2 group practices and clinics, 1 home health agency, 1 hospice and 1 skilled nursing facility, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Patel practices, 7 sites in all. Vendor and product names are available with a free account.

Internal medicine is Dr. Patel's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Patel is board certified in internal medicine by the American Board of Internal Medicine. Dr. Patel is licensed in California.

Dmand AI lists acute diabetes, acute respiratory failure, asthma, atherosclerosis, atrial fibrillation and flutter, cellulitis, chronic diabetes and chronic hypertension among the conditions Dr. Patel treats.

CMS data shows 5,269 Medicare services from Dr. Patel across 9 procedure codes in 2024, for 582 Medicare patients. Medicare paid $432,894 for them. Every service was in a facility, such as a hospital, rather than an office.

CMS counts 582 Medicare patients who saw Dr. Patel in 2024. The largest group is 65 to 74, with 218 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 81% are also on Medicaid. Their average risk score is 2.70, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Patel's median patient age at 50, with 45% women.

In 2024, Dr. Patel wrote 838 Medicare Part D claims for 251 patients. 84% of them were for generic drugs. CMS names the drug for 547 of them, across 23 drugs with 11 or more claims each, at $41,149 in total drug cost. In 2023, CMS named 818 claims across 29 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Patel for performance year 2024, reported as part of a group. Dr. Patel accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Dmand AI links 6 papers to Dr. Patel, published from 2014 to 2019. The most frequent topics are Peristalsis, Deglutition and Muscle Contraction. Dr. Patel has published most often in Am J Physiol Gastrointest Liver Physiol. Dr. Patel's most frequent co-authors are Matthew J. Budoff, MD and Ravinder K. Mittal, MD.

CMS Open Payments shows 18 general payments to Dr. Patel from 10 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 90% of the total. ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) paid the most, $165.

Dr. Patel is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.