Nainesh M. Patel, MD
Cardiovascular Disease Physician · Pottstown, PA
Nainesh M. Patel, MD is a cardiovascular disease physician with a practice address in Pottstown, Pennsylvania, and NPI 1043290372, issued on Jan 20, 2006. Check the license (Pennsylvania MD044234E, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Nainesh M. Patel
- Credential
- MD
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License number
- MD044234E PA
Self-reported in NPPES; status is on the state search - Practice location
- 1591 Medical Dr, Pottstown, PA 19464
- Phone
- (610) 326-8005
- Enumerated
- Jan 20, 2006
- Record last updated
- Dec 17, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (610) 718-0788
- Medicare enrollment
- Enrolled (PECOS I20090115000531); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 1,476 in Pennsylvania → Look up another NPI →
Also registered at 1591 Medical Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Krishna Komanduri, D.ONephrology Physician1295093466
- Mark Levenberg, DOProcedural Dermatology Physician1982657342
Verify Nainesh M. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD044234ECheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average cardiovascular disease physician in 2024
6,900 Medicare Part D claims for 1,121 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.
Most prescribed
- Metoprolol Succinate782 claims
- Eliquis732 claims
- Atorvastatin Calcium617 claims
- Losartan Potassium414 claims
- Amlodipine Besylate362 claims
- Furosemide348 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 94.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $309.54
6 payments; by number, the most common kind was food and beverage; the largest payer was ShockWave Medical, Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Phoenixville Clinic Company LLCPhoenixville, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nainesh M. Patel among 1,476 cardiovascular disease physician records in Pennsylvania
Nainesh M. Patel, MD is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 20% of them.
- NPI issued2006 · 20% of these records are older, 45% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1982 · median 2000 among the 1,003 with a school on file
- Record last updated2019 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cardiovascular Disease Physician providers in Pennsylvania
There are 1,476 cardiovascular disease physician records in Pennsylvania.
All 1,476 in Pennsylvania → Every provider in Pottstown → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- John Fornace, D.O.Pottstown, PA 194641760524870
- Christopher Oswald, MDPottstown, PA 194641346236403
- Justin Lingel, MDPlymouth Meeting, PA 194621366837999
- Demetrius Bravidis, MDLimerick, PA 194681447221106
- Herbert Fischer, M.D.Phoenixville, PA 194601902988397
- Joseph Hellman, M.D.Phoenixville, PA 194601912268343
- Karthik Linganathan, M.D.,Limerick, PA 194681992967905
- Kathleen Magness, M.D.Phoenixville, PA 194601063594877
Common questions
What is Nainesh M. Patel, MD's NPI number?
Nainesh M. Patel, MD's National Provider Identifier (NPI) is 1043290372, issued on Jan 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Nainesh M. Patel, MD located?
The NPPES record lists a practice address at 1591 Medical Dr, Pottstown, PA, 19464. Phone: (610) 326-8005. Providers update this record themselves, so call before visiting.
How can I verify Nainesh M. Patel, MD's license?
NPPES lists Pennsylvania license number MD044234E, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nainesh M. Patel, MD prescribe under Medicare Part D?
In 2024, Nainesh M. Patel, MD had 6,900 Medicare Part D claims for 1,121 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Nainesh M. Patel, MD's MIPS final score?
The 2023 MIPS final score is 94.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.