Nikunj Prafulbhai Patel, M.D
Internal Medicine Physician · Hanover, PA
Nikunj Prafulbhai Patel, M.D is an internal medicine physician with a practice address in Hanover, Pennsylvania, and NPI 1548573405, issued on Jul 21, 2010. Check the license (Pennsylvania MD453538, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Nikunj Prafulbhai Patel
- Credential
- M.D
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- MD453538 PA
24128 WV
Self-reported in NPPES; status is on the state search - Practice location
- 300 Highland Ave, Hanover, PA 17331
- Phone
- (717) 316-3711
- Enumerated
- Jul 21, 2010
- Record last updated
- Apr 15, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (717) 316-3049
- Medicaid IDs
- 102986599 PA
3810018933 WV - Medicare enrollment
- Enrolled (PECOS I20141224001068); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,300 in Pennsylvania → Look up another NPI →
Also registered at 300 Highland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Nikunj Prafulbhai Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD453538Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
83% fewer Medicare Part D claims than the average internal medicine physician in 2024
525 Medicare Part D claims for 259 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 27 claims were for opioids.
Most prescribed
- Cefuroxime23 claims
- Furosemide21 claims
- Pantoprazole Sodium21 claims
- Prednisone20 claims
- Eliquis18 claims
- Atorvastatin Calcium17 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.
Bills Medicare through 2 group practices
- Integrated Medical Group P CPottsville, PA
- Penn State Health Medical Group LLCHershey, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nikunj Prafulbhai Patel among 7,300 internal medicine physician records in Pennsylvania
Nikunj Prafulbhai Patel, M.D is one of 7,300 internal medicine physician records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 50% of them.
- NPI issued2010 · 50% of these records are older, 48% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated1998 · median 2008 among the 4,208 with a school on file
- Record last updated2021 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
25 internal medicine physician records list a practice address in Hanover
They are 25 of the 804 NPPES records with a practice address in Hanover, and 7,300 internal medicine physician records in Pennsylvania.
All 7,300 in Pennsylvania → Every provider in Hanover → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Joseph Acri, D.O.Hanover, PA 173311295722163
- Meagan Bilbrough, D.O.Hanover, PA 173311336342229
- Luciene Borowik, MDHanover, PA 173311144366931
- Joanne Chan, M.D.Hanover, PA 173311467426916
- Warren Daniels, MDHanover, PA 173311255427332
- Michael Garcia, M.D.Hanover, PA 173311215930227
- Thomas Keller, D.O.Hanover, PA 173311073587515
- Raymond Mathews, MDHanover, PA 173311710980719
Common questions
What is Nikunj Prafulbhai Patel, M.D's NPI number?
Nikunj Prafulbhai Patel, M.D's National Provider Identifier (NPI) is 1548573405, issued on Jul 21, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Nikunj Prafulbhai Patel, M.D located?
The NPPES record lists a practice address at 300 Highland Ave, Hanover, PA, 17331. Phone: (717) 316-3711. Providers update this record themselves, so call before visiting.
How can I verify Nikunj Prafulbhai Patel, M.D's license?
NPPES lists Pennsylvania license number MD453538, 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 Nikunj Prafulbhai Patel, M.D prescribe under Medicare Part D?
In 2024, Nikunj Prafulbhai Patel, M.D had 525 Medicare Part D claims for 259 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
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.