Individual provider

Niraj Patel, M.D.

Student in an Organized Health Care Education/Training Program Medicare enrolled

Niraj Patel, M.D. is a provider specialising in Student in an Organized Health Care Education/Training Program in La Jolla, CA, registered under NPI 1326302191. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is DIVISION OF GASTROENTEROLOGY & HEPATOLOGY 9500 GILMAN DRIVE, La Jolla, CA 92093. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

DIVISION OF GASTROENTEROLOGY & HEPATOLOGY 9500 GILMAN DRIVE, La Jolla, CA 92093 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
7719279959
Enrollment ID
I20171009001972

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1326302191 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 27, 2012
Last updatedNov 10, 2021
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address DIVISION OF GASTROENTEROLOGY & HEPATOLOGY
9500 GILMAN DRIVE
La Jolla, CA 92093
(619) 543-2347
Mailing address 9500 GILMAN DR DIVISION OF GASTROENTEROLOGY & HEPATOLOGY
La Jolla, CA 92093
The last update on file is Nov 10, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1326302191 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 2 6 3 0 2 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 4 6 6 0 4 1 9

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1326302191?
NPI 1326302191 is the National Provider Identifier assigned to Niraj Patel, M.D. in La Jolla, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Niraj Patel, M.D.?
The phone number on file with NPPES is (619) 543-2347, last updated Nov 10, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Niraj Patel, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1326302191 a valid number?
Yes. 1326302191 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.