Dr. Nirav Patel
- Gender: Male
- Experience: 8 years
- Graduated from: University Of Kentucky College Of Medicine
- Graduation year: 2013
- Sole propriator: Yes
- NPI: 1316384167
Dr. Nirav Patel M.D.
Family Physician
He is located at N84W16889 Menomonee Avenue in Menomonee Falls, WI 53051. Can help patients with the following: Autism, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Fever, Mold Exposure, Nausea and Vomiting. His National Provider Identifier (NPI) number is 1316384167. Appointment can be made via the phone number (262) 251-7500. He is affiliated with 2 practices.
Conditions treated
Dr. Nirav Patel, being an family physician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Nirav Patel.
- Abdominal Pain
- Aging In Place
- Anxiety
- Arthritis
- Asthma
- Autism
- Birth Control Counseling
- Breastfeeding and Lactation
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Diabetes
- Fever
- General Care
- Headache
- Heart Disease
- High Blood Pressure
- Hyperlipidemia
- Hypothyroidism
- Infant Care
- Influenza
- Migraine
- Mold Exposure
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Pregnancy
- Prenatal Care
- Prescription Refill
- Thyroid Disease
- Women's Health
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Nirav Patel as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Aspirus Health Plan
Network data as of Mar 15, 2023, as reported by the insurer.
Show all 12 plans from Aspirus Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HMO Bronze $0 Medical Deductible | HMO · Expanded Bronze | Aspirussign | Not accepting new patients |
| HMO Bronze 10000 | HMO · Bronze | Aspirussign | Not accepting new patients |
| HMO Bronze 7500 | HMO · Expanded Bronze | Aspirussign | Not accepting new patients |
| HMO Catastrophic 10600 with 3 free PCP visits | HMO · Catastrophic | Aspirussign | Not accepting new patients |
| HMO Gold 2000 | HMO · Gold | Aspirussign | Not accepting new patients |
| HMO Gold 2700 | HMO · Gold | Aspirussign | Not accepting new patients |
| HMO HDHP Silver 5900 | HMO · Silver | Aspirussign | Not accepting new patients |
| HMO Silver 6000 | HMO · Silver | Aspirussign | Not accepting new patients |
| HMO Silver 6600 | HMO · Silver | Aspirussign | Not accepting new patients |
| POS Bronze 7500 | POS · Expanded Bronze | Aspirussign | Not accepting new patients |
| POS Bronze 8500 | POS · Bronze | Aspirussign | Not accepting new patients |
| POS Silver 6000 | POS · Silver | Aspirussign | Not accepting new patients |
CareSource (Common Ground Healthcare)
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 18 plans from CareSource (Common Ground Healthcare)
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
HealthPartners
Network data as of Aug 28, 2025, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Oak $1,300 Gold | PPO · Gold | Network | Accepting new patients |
| Oak $2,000 Standard Gold | PPO · Gold | Network | Accepting new patients |
Quartz
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 57 plans from Quartz
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Nirav Patel is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Nirav Patel is enrolled to bill Medicare as a Practitioner - Family Practice .
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Teva Pharmaceuticals | $125 |
Other
| Food and Beverage | $125 |
Studies
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated in 2013Additional Specialities
- Resident
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Questions & Answers
Does Dr. Nirav Patel have affiliation with practices?
Dr. Nirav Patel is affiliated with Aurora Advanced Healthcare. For the full list of practices see this list.
Where can you meet with Dr. Nirav Patel?
Dr. Nirav Patel's office is located at N84W16889 Menomonee Avenue in Menomonee Falls, WI 53051.
What conditions does Dr. Nirav Patel treat?
Dr. Nirav Patel provides treatment for Autism, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Fever, Mold Exposure, Nausea and Vomiting. For the full list see this list.
Does Dr. Nirav Patel accept insurance?
Dr. Nirav Patel is listed in-network for 120 ACA Marketplace (Obamacare/HealthCare.gov) plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz, UnitedHealthcare. See the Marketplace plans section for details.