Dr. Niral B. Patel, MD
- Medicare services, 2024
- 509
- Medicare patients, 2024
- 319
- Part D claims, 2024
- 387
- MIPS score, 2024
- 81
- Hospital affiliations
- 1
- Practice address
- 1505 Eastland Dr, Bloomington, IL 61701
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Eastland Medical Plaza Surgicenter - HOPD
Acute Care Hospital outpatient department · Bloomington, Illinois
Find Dr. Patel's professional email, personal email and mobile number
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Dr. Niral B. Patel is a hospitalist in Bloomington, Illinois
Dr. Patel practices at Eastland Medical Plaza Surgicenter - HOPD in Bloomington, Illinois.
Dr. Patel's NPI, 1639666001, was assigned on April 20, 2018. Dr. Patel holds New Jersey license 25MA11067100.
- NPI
- 1639666001NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9830593441
- NPI enumeration date
- April 20, 2018
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 34
- Medical school graduation
- 2018
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Niral B. Patel practices at Eastland Medical Plaza Surgicenter - HOPD in Bloomington, Illinois
Dr. Patel's primary practice is Eastland Medical Plaza Surgicenter - HOPD, at 1505 Eastland Dr, Bloomington, IL 61701.
- Eastland Medical Plaza Surgicenter - HOPD1505 Eastland Dr, Bloomington, IL 61701
Source: Dmand AI Affiliation Data
Dr. Niral B. Patel is affiliated with 3 sites of care and 1 medical group
Dr. Patel's primary practice is Eastland Medical Plaza Surgicenter - HOPD in Bloomington, Illinois. Dr. Patel is also affiliated with Virtua Our Lady of Lourdes Hospital. The medical group on file is Virtua Medical Group. Dmand AI also links Dr. Patel to 1 more ambulatory surgery center, named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Niral B. Patel's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Patel practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Eastland Medical Plaza Surgicenter - HOPD | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Niral B. Patel is one of 1,321 hospitalists in Illinois
Hospitalist is Dr. Patel's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Patel is licensed in New Jersey.
Specialties and state licenses
- Hospitalist, New JerseyPrimary
Hospitalists near Dr. Patel
Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Niral B. Patel billed Medicare for 509 services in 2024
CMS data shows 509 Medicare services from Dr. Patel across 6 procedure codes in 2024, for 319 Medicare patients. Medicare paid $27,573 for them. Every service was in an office.
Dr. Patel's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 2722024: 31516%
- Lab and pathology
- 2023: 692024: 194181%
- Tests and treatments
- 2023: 142024: 0100%
Dr. Patel compared with the Illinois median for hospitalists, 2024
- Dr. Patel
- Illinois median
- Medicare services
- 509vs 5436% below
- Medicare patients
- 319vs 24232% above
- Part D claims
- 296vs 535.6 times
Medians across 1,248 hospitalists in Illinois with Dmand AI profiles that report each measure.
Dr. Patel's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Niral B. Patel treated 319 Medicare patients in 2024, average age 73
CMS counts 319 Medicare patients who saw Dr. Patel in 2024. The largest group is 65 to 74, with 163 patients. 75% of them have high cholesterol, and 71% have high blood pressure. 9% are also on Medicaid. Their average risk score is 1.15, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Patel's median patient age at 44, with 62% women.
Dr. Patel's Medicare patients by age, 2024
Dr. Patel's Medicare patients by sex, 2024
- Women20865%
- Men11135%
Chronic conditions among Dr. Patel's Medicare patients, 2024
- High cholesterol75%
- High blood pressure71%
- Arthritis53%
- Anxiety31%
- Ischemic heart disease30%
- Diabetes25%
- Mood disorders23%
- Chronic kidney disease19%
Share of Medicare patients with each condition. A patient can have several.
Dr. Patel's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 44
Patient panel by sex, all payers
- Women62%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Niral B. Patel wrote 387 Medicare Part D claims in 2024
In 2024, Dr. Patel wrote 387 Medicare Part D claims for 291 patients. 94% of them were for generic drugs. CMS names the drug for 296 of them, across 10 drugs with 11 or more claims each, at $2,827 in total drug cost. In 2023, CMS named 278 claims across 8 drugs.
Dr. Patel's Part D claims by kind of drug, 2024
- Generic364 claims94%
- Brand-name and other23 claims6%
Dr. Patel's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Patel's Part D claims, 2024
- Antibiotics47%180 of 387 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2782024: 2966%
Drugs named by CMS: 10 in 2024, 8 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Niral B. Patel scored 81 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 81 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.
- Accepts Medicare assignment
- Yes
Dr. Patel's MIPS scores, performance year 2024
- 81of 100Final score
- 62.3of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Niral B. Patel received $12 in industry payments in 2021
CMS Open Payments shows 1 general payment to Dr. Patel from 1 drug or device company in 2021. Food and beverage make up the largest share, 100% of the total. Pfizer Inc. paid the most, $12.
Companies that paid Dr. Patel the most, 2021 to 2021
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Niral B. Patel's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Niral B. Patel
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Niral B. Patel's NPI number?
Dr. Niral B. Patel's NPI number is 1639666001. It was assigned on April 20, 2018, and it is active in the NPI Registry.
What kind of doctor is Dr. Niral B. Patel?
Dr. Niral B. Patel is a hospitalist in Bloomington, Illinois. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).
Where does Dr. Niral B. Patel practice?
Dr. Patel practices at 1505 Eastland Dr, Bloomington, IL 61701. Dr. Patel's primary practice is Eastland Medical Plaza Surgicenter - HOPD in Bloomington, Illinois. Dmand AI also links Dr. Patel to 1 ambulatory surgery center.
What is Dr. Niral B. Patel's medical license number?
Dr. Patel holds New Jersey license 25MA11067100.
Which hospitals is Dr. Niral B. Patel affiliated with?
Dr. Patel is affiliated with Virtua Our Lady of Lourdes Hospital.
What medical group is Dr. Niral B. Patel part of?
Dr. Patel is linked to Virtua Medical Group.
Does Dr. Niral B. Patel accept Medicare?
Yes. CMS data shows Dr. Patel billed Medicare for 509 services in 2024, and Dr. Patel accepts Medicare assignment.
What is Dr. Niral B. Patel's MIPS score?
Dr. Patel's MIPS final score for performance year 2024 is 81 out of 100, reported as part of a group.
How many Medicare patients does Dr. Niral B. Patel see?
CMS counts 319 Medicare patients who saw Dr. Patel in 2024, with an average age of 73.
What services does Dr. Niral B. Patel bill to Medicare?
In 2024, Dr. Patel's most billed Medicare services were office visit, established patient (99213), lab and pathology test (87804) and office visit, new patient (99203).
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What drugs does Dr. Niral B. Patel prescribe most?
In 2024 Medicare Part D data, Dr. Patel's most prescribed drugs by claims were Methylprednisolone, Cephalexin and Azithromycin.
Has Dr. Niral B. Patel received payments from drug or device companies?
CMS Open Payments shows $12 in general payments to Dr. Patel from 1 company from 2021 to 2021. The largest total came from Pfizer Inc.
How long has Dr. Niral B. Patel been practicing?
Dr. Patel graduated from medical school in 2018, 8 years ago.
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