Active NPI 1932145422 Individual Practitioner Male Practitioner

Dr. Niraj Patel , MD

Internal Medicine • Henrico, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Niraj Patel, MD is a certified Internal Medicine practicing in Henrico, VA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Patel delivers high-quality medical care to the local community at 2201 LOREINES LANDING CT.

Dr. Patel maintains professional affiliations with Snf Ltc Partners Of Virginia, Legacy Care Aco Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2201 Loreines Landing Ct

Henrico, VA 23233

Telephone 8046086812

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Henrico, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +3.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Henrico, VA (3758 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (27 Years) 27 Yrs

Henrico Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	594	78	$214.00	$103.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	137	$278.00	$75.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	98	28	$150.00	$71.64
99306 Initial nursing facility visit, typically 45 minutes per day	76	66	$365.00	$175.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	39	$214.00	$103.62
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	49	29	$307.00	$147.77
99497 Advance care planning, first 30 minutes	47	43	$152.00	$72.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$525.00	$124.68
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	16	$127.00	$73.77
99315 Nursing facility discharge day management, 30 minutes or less	15	14	$164.00	$78.45
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	14	11	$195.00	$122.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	100	$260.33	$76.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$495.73	$124.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	54	$252.00	$70.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	20	$361.00	$101.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$476.00	$133.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	58	28	$233.55	$177.58
36415 Insertion of needle into vein for collection of blood sample	13	13	$18.08	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	180	35	$205.07	$136.04
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	147	50	$201.34	$183.08
36415 Insertion of needle into vein for collection of blood sample	84	46	$25.30	$2.95
99337 Established patient assisted living visit, typically 60 minutes	67	15	$400.00	$195.54
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	61	31	$145.50	$130.98
99497 Advance care planning, first 30 minutes	34	33	$110.49	$87.18
99284 Emergency department visit with moderate level of medical decision making	34	34	$996.00	$118.28
99335 Established patient assisted living visit, typically 25 minutes	33	18	$144.00	$96.12
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	33	33	$247.91	$226.36
99285 Emergency department visit for life threatening or functioning severity	24	23	$1447.88	$175.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$119.82	$117.71
99344 New patient home visit, typically 1 hour	22	22	$200.56	$184.09
97597 Removal of tissue from wound, 20.0 sq cm or less	21	12	$100.39	$98.53
99283 Emergency department visit with low level of medical decision making	21	21	$525.00	$65.89
99195 Drawing of blood for a medical problem	14	12	$112.37	$102.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	110	33	$170.61	$94.76
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	94	29	$108.76	$60.09
99284 Emergency department visit with moderate level of medical decision making	71	70	$941.49	$116.43
99283 Emergency department visit with low level of medical decision making	68	67	$515.01	$61.02
99336 Established patient assisted living visit, typically 40 minutes	62	30	$215.56	$135.03
99285 Emergency department visit for life threatening or functioning severity	43	42	$1413.14	$172.13
99337 Established patient assisted living visit, typically 60 minutes	27	17	$387.53	$193.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	12	$95.53	$52.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,446	266	$115.14	$90.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	520	140	$119.54	$90.93
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	310	142	$165.00	$135.09
99335 Established patient assisted living visit, typically 25 minutes	262	89	$104.00	$92.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	185	107	$88.00	$68.80
99306 Initial nursing facility visit, typically 45 minutes per day	148	134	$210.00	$165.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	147	94	$59.00	$53.36
99358 Prolonged patient service without direct patient contact first hour	139	113	$185.00	$111.00
99336 Established patient assisted living visit, typically 40 minutes	107	72	$170.00	$134.61
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	94	71	$118.00	$107.55
99497 Advance care planning, first 30 minutes	84	77	$135.00	$83.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	81	46	$165.00	$135.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	68	42	$88.00	$68.81
99358 Prolonged patient service without direct patient contact first hour	64	60	$185.00	$111.00
99306 Initial nursing facility visit, typically 45 minutes per day	51	50	$210.00	$165.85
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	26	$45.00	$41.40
99356 Prolonged inpatient or observation hospital service, first hour	42	33	$100.00	$91.61
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	38	32	$66.00	$59.72
99283 Emergency department visit with low level of medical decision making	35	35	$502.00	$61.45
99337 Established patient assisted living visit, typically 60 minutes	34	29	$211.00	$192.28
99285 Emergency department visit for life threatening or functioning severity	30	30	$1281.33	$169.29
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	29	29	$203.00	$185.22
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	29	19	$180.00	$107.97
99284 Emergency department visit with moderate level of medical decision making	26	26	$845.00	$116.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,520	441	$115.00	$89.93
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	786	284	$162.49	$134.06
99306 Initial nursing facility visit, typically 45 minutes per day	419	349	$210.00	$164.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	237	149	$88.00	$68.13
99336 Established patient assisted living visit, typically 40 minutes	198	61	$169.54	$133.16
99285 Emergency department visit for life threatening or functioning severity	184	180	$1150.53	$168.12
99335 Established patient assisted living visit, typically 25 minutes	145	65	$104.00	$93.68
99356 Prolonged inpatient or observation hospital service, first hour	143	96	$100.00	$90.88
99284 Emergency department visit with moderate level of medical decision making	110	109	$787.25	$113.26
99337 Established patient assisted living visit, typically 60 minutes	81	36	$211.00	$190.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	69	67	$59.23	$8.16
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	60	41	$118.00	$106.51
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	55	55	$237.00	$215.58
99283 Emergency department visit with low level of medical decision making	55	55	$493.80	$60.00
99291 Critical care, first 30-74 minutes	53	53	$1351.53	$215.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	44	$59.00	$53.02
99356 Prolonged inpatient or observation hospital service, first hour	44	33	$100.00	$90.88
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$116.86	$48.73
71010 X-ray of chest, 1 view, front	23	22	$41.00	$8.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$157.57	$75.38
99357 Extended inpatient or observation hospital service, each additional 30 minutes	20	20	$99.00	$90.88
99292 Critical care, each additional 30 minutes	15	15	$583.80	$108.07
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$166.00	$128.62

Medical Specialties & State Licenses

CMS Verified: 2026-03-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101232936

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License VA 0101232936

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License VA 0101232936

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1932145422 (VA)

Medicaid State Provider ID

010233003 (VA)

Medicaid State Provider ID

3810016102 (WV)

Medicaid State Provider ID

10125243 (VA)

Medicaid State Provider ID

010234492 (VA)

Commercial Insurance / Payer ID Anthem

000000978600 (KY)

Commercial Insurance / Payer ID Railroad Mcr

P00237235

Hospital & Practice Group Affiliations

Legacy Care Aco Llc

2420 Pemberton Rd, Richmond, VA 232332003

Phone: 8047479200

Snf Ltc Partners Of Virginia

1776 Cambridge Dr, Richmond, VA 232383203

Phone: 8045432120

Secondary Practice Locations

2870 Greystone Ln

Atlanta, GA 303415860

Phone: 8048147666

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2026

Emergency Medicine (License #0101232936 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Internal Medicine (License #0101232936 in VA)

📍

Updated Practice Location September 04, 2018

Registered at 2201 LOREINES LANDING CT, HENRICO, VA 23233 (Tel: 8046086812)

📍

Updated Business Mailing Address September 04, 2018

Registered at PO BOX 2250, GLEN ALLEN, VA 230582250

✅

NPI Profile Active March 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2016

Registered at 2870 GREYSTONE LN, ATLANTA, GA 303415860 (Tel: 8048147666)

📍

Updated Business Mailing Address March 08, 2016

Registered at 2870 GREYSTONE LN, ATLANTA, GA 303415860 (Tel: 6786152663)

👤

Provider Name / Credentials Updated March 08, 2016

Recorded as NIRAJ PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2016

Emergency Medicine (License #0101232936 in VA)

🟢

Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932145422

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2006

Last Update: March 23, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2250

Glen Allen, VA 230582250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.