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Dr. Nilesh Arvind Patel, MD

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Specializes in: Bariatric Surgery and General Surgery

UMDNJ-Robert Wood Johnson Medical School (1999)

Professional interests include: laparoscopic gastric banding, gallbladder problems, robotic surgery, and more.

14603 Huebner Road Building 2
San Antonio, TX 78229

(210) 695-2757

Dr. Nilesh Arvind Patel, MD is a bariatric surgeon in San Antonio, TX specializing in bariatric surgery and general surgery. He graduated from UMDNJ-Robert Wood Johnson Medical School in 1999 and has 27 years of experience. Dr. Nilesh Arvind Patel, MD is affiliated with Methodist Healthcare and Methodist Hospital Metropolitan.

Office Locations

14603 Huebner Road Building 2
San Antonio, TX 78229

(210) 695-2757

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14603 Huebner Road Building 2
San Antonio, TX 78230

(210) 695-2757

1-800-520-2747

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1583 Common Street Suite 111
New Braunfels, TX 78130

(210) 695-2757

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2222 Morgan Avenue Suite 110
Corpus Christi, TX 78405

(210) 695-2757

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612 North Bedell Avenue Suite C
Del Rio, TX 78840

(210) 695-2757

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9701 Brodie Lane #206
Austin, TX 78748

(210) 695-2757

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Some issues Dr. Nilesh Arvind Patel, MD can help you with:

Gastric Bypass Surgery

Gastric bypass surgery is a procedure that promotes weight loss by reducing the stomach and altering how the digestive system absorbs and processes food. The procedure treats morbid obesity, where one's weight impairs day-to-day function or poses serious health risks. Gastric bypass surgery is used only after other weight loss treatments are unsuccessful.

Generally, gastric bypass surgery is performed on patients who have a BMI of 40 or greater, or a BMI of 35 or greater with a weight-related health condition such as type 2 diabetes. Bariatric surgeons frequently expect patients to first attempt natural weight loss for about six months to prove to the surgeon that the patient is capable of maintaining a post-surgery diet and exercise regimen.

For obese patients, gastric bypass surgery has many potential health and weight benefits. Gastric bypass surgery restricts the amount of food the stomach contains, as well as:

Reduces the calories the stomach absorbs
Alters gastrointestinal hormones, which help to heal obesity-induced metabolic syndrome
Suppresses appetite
Alleviates conditions caused or exacerbated by obesity, such as obstructive sleep apnea, heart disease, and type 2 diabetes
Contributes to mental health by improving self-esteem

During gastric bypass surgery, the stomach is stapled to reduce its size, and a small hole is created in the stomach and attached to the middle section of the small intestine. This direct connection between the stomach and the middle of the small intestine creates a channel for some food to bypass the normal route. By bypassing the upper small intestine and larger region of the stomach, food is not fully absorbed and patients do not retain the same amount of calories as before. This procedure is also sometimes referred to as "Roux-en-Y" gastric bypass surgery. Some bariatric surgeons may perform a "laparoscopic bypass" which uses a tiny camera (laparoscope) to guide the procedure.

Gastric bypass surgery is performed with general anesthesia and as preparation, a liquid diet is required for two weeks prior to undergoing the surgery. After the surgery, patients will spend about two days in the hospital and may miss work for two to three weeks. In the first month after the surgery, patients are only able to consume small portions of liquid or soft food. Even after reintroducing solid food, patients feel full quickly, sometimes after eating just two or three tablespoons. Some patients experience "dumping syndrome" (rapid processing of food into the small intestine), which is common during the recovery process. Gastric bypass surgery patients must also make permanent lifestyle changes. For example, gastric bypass patients are required to take vitamins for life after surgery and required to forever avoid certain foods, such as alcohol, sugar, and high fat food.

While the gastric bypass recovery process can be challenging, surgery results are usually swift: most gastric bypass surgery patients lose nearly half to two thirds of their starting weight within two years of surgery.

Robotic Surgery

Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.

There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.

Weight Loss Surgery (Bariatric Surgery)

Bariatric or weight-loss surgery is a surgical procedure performed to help significantly obese patients lose weight when more traditional methods, such as dieting and exercise, have not helped. Depending on the type, these surgeries change the gastrointestinal tract to limit how much food can be eaten and also change how food is absorbed by the body. Of the various bariatric surgeries available, the most common is gastric bypass.

By far the most common of the gastric bypass surgeries is called Roux-en-Y. During this surgery, part of the stomach and small intestine are detached from the gastrointestinal tract, in order to make the tract smaller. The surgeon divides the stomach into two parts. The working stomach, at the end of the esophagus, is now tiny - only the size of a walnut. This makes patients feel full after eating a small amount of food. Then the small intestine is also divided, and after bypassing a section of the small intestine to reduce food absorption, the intestine is attached to the small stomach pouch. The patient now has a working stomach and intestine like before, only much smaller.

Because gastric bypass is used to treat extreme obesity, it can reduce the risk of some of the problems associated with obesity. Gastric bypass can help treat or reduce the risk for such conditions as heart disease, high blood pressure, sleep apnea, and type 2 diabetes. However, it is a major surgery and also carries risks itself. Any surgery can lead to infection, bleeding, or blood clots, and weight loss surgery in particular carries risks of leaks in the gastrointestinal system, malnutrition, bowel obstructions, and vomiting.

Typically patients are considered candidates for gastric bypass surgery if they have a BMI greater than 40, or sometimes if they have a BMI between 35 and 40 but are suffering from obesity-related illnesses such as diabetes. The outlook is generally good, with most patients losing between 50-75% of their excess weight in 1-2 years. However, patients must follow strict diet guidelines so that the stomach can heal, starting with no food at all, then followed by a liquid diet for some time. For many severely obese patients who have tried strict diets before without success, gastric bypass surgery is the tool that allows them to finally achieve their weight loss and health goals.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2012 were minimally invasive procedures, gastrointestinal procedures, bypass surgery and weight management.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

bypass surgery	14
gastrointestinal procedures	26
minimally invasive procedures	26
weight management	14

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	144

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	39
Female	54

**Ethnicity**
Non-Hispanic White	48
Black	0
Hispanic	31
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	58

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2013

Hypertension	75
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	41
Depression	38
Chronic Kidney Disease	23
Asthma	12
Osteoperosis	17
Atrial Fibrilation	0
Heart Failure	22
Chronic Obstructive Pulmonary Disease	0
Diabetes	72
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Ethnicity**
Non-Hispanic White	24
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	26

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2014

Hypertension	75
High Cholesterol	73
Stroke	0
Ischemic Heart Disease	41
Depression	44
Chronic Kidney Disease	29
Asthma	0
Osteoperosis	37
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	56
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2015 were minimally invasive procedures, gastrointestinal procedures and implant surgery.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	32
gastrointestinal procedures	37
implant surgery	24
minimally invasive procedures	37

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	36
Female	98

**Ethnicity**
Non-Hispanic White	64
Black	0
Hispanic	44
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	84

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2015

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	37
Depression	45
Chronic Kidney Disease	31
Asthma	22
Osteoperosis	45
Atrial Fibrilation	0
Heart Failure	22
Chronic Obstructive Pulmonary Disease	19
Diabetes	75
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	54

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	18
Female	44

**Ethnicity**
Non-Hispanic White	31
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	47

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2016

Hypertension	75
High Cholesterol	74
Stroke	0
Ischemic Heart Disease	34
Depression	47
Chronic Kidney Disease	47
Asthma	24
Osteoperosis	40
Atrial Fibrilation	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	0
Diabetes	75
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	78

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	21
Female	43

**Ethnicity**
Non-Hispanic White	30
Black	0
Hispanic	23
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	43

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2017

Hypertension	75
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	25
Depression	36
Chronic Kidney Disease	31
Asthma	0
Osteoperosis	28
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	64
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2018 were minimally invasive procedures, gastrointestinal procedures, weight management and implant surgery.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

bypass surgery	22
doctor visit	116
gastrointestinal procedures	86
implant surgery	31
minimally invasive procedures	86
weight management	36

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	29
Female	77

**Ethnicity**
Non-Hispanic White	48
Black	0
Hispanic	46
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	73

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2018

Hypertension	75
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	33
Depression	42
Chronic Kidney Disease	43
Asthma	16
Osteoperosis	31
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	17
Diabetes	75
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2019 were minimally invasive procedures and gastrointestinal procedures.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	203
gastrointestinal procedures	26
minimally invasive procedures	26

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	32
Female	91

**Ethnicity**
Non-Hispanic White	53
Black	0
Hispanic	46
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	80

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2019

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	26
Depression	44
Chronic Kidney Disease	32
Asthma	13
Osteoperosis	22
Atrial Fibrilation	0
Heart Failure	9
Chronic Obstructive Pulmonary Disease	14
Diabetes	60
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2020 were removal of lesion (e.g. growth), minimally invasive procedures, diagnostic procedures and gastrointestinal procedures.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

diagnostic procedures	11
doctor visit	108
gastrointestinal procedures	11
minimally invasive procedures	11
removal of lesion (e.g. growth)	11

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	20
Female	72

**Ethnicity**
Non-Hispanic White	42
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	49

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2020

Hypertension	75
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	27
Depression	43
Chronic Kidney Disease	39
Asthma	21
Osteoperosis	32
Atrial Fibrilation	0
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	62
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2021 were minimally invasive procedures and gastrointestinal procedures.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	70
gastrointestinal procedures	41
minimally invasive procedures	41

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	14
Female	61

**Ethnicity**
Non-Hispanic White	49
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	37
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2021

Hypertension	75
High Cholesterol	71
Stroke	0
Ischemic Heart Disease	35
Depression	44
Chronic Kidney Disease	28
Asthma	15
Osteoperosis	29
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	69
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX during 2022 were minimally invasive procedures and gastrointestinal procedures.

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	95
gastrointestinal procedures	12
minimally invasive procedures	12

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	24
Female	58

**Ethnicity**
Non-Hispanic White	44
Black	0
Hispanic	24
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	27
Depression	34
Chronic Kidney Disease	21
Asthma	20
Osteoperosis	45
Atrial Fibrilation	0
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	70
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	93

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	18
Female	56

**Ethnicity**
Non-Hispanic White	42
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	24
Depression	38
Chronic Kidney Disease	26
Asthma	0
Osteoperosis	30
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	59
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

doctor visit	77

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	13
Female	36

**Ethnicity**
Non-Hispanic White	29
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	32
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	0
Depression	27
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	37
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	47
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Nilesh Arvind Patel, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nilesh Arvind Patel, MD treated as a bariatric surgeon in San Antonio, TX were minimally invasive procedures, gastrointestinal procedures, implant surgery and weight management.

bypass surgery	18
diagnostic procedures	11
doctor visit	97
gastrointestinal procedures	34
implant surgery	27
minimally invasive procedures	34
removal of lesion (e.g. growth)	11
weight management	25

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Nilesh Arvind Patel, MD.

**Gender**
Male	20
Female	53

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	38
Hispanic	16
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	0
85 and over	0
Less than 65	35
65 to 74	12

Average of Total of Conditions of Medicare patients treated by Dr. Nilesh Arvind Patel, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Nilesh Arvind Patel, MD treated were hypertension, high cholesterol, diabetes and depression.

Hypertension	69
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	26
Depression	37
Chronic Kidney Disease	26
Asthma	11
Osteoporosis	30
Heart Failure	8
Chronic Obstructive Pulmonary Disease	6
Diabetes	60
Atrial Fibrillation	0
Cancer	0
Dementia	0

Education & Training

Dr. Nilesh Arvind Patel, MD graduated from UMDNJ-Robert Wood Johnson Medical School in 1999. He completed residency at Allegheny General Hospital. He has a state license in Texas.

Medical School: UMDNJ-Robert Wood Johnson Medical School (1999)

Residency: Allegheny General Hospital (2004)

Licensed In: Texas

Affiliations & Hospitals

Dr. Nilesh Arvind Patel, MD is associated with these hospitals and organizations:

Methodist Healthcare

Methodist Hospital Metropolitan

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General Payments

These charts describe general payments received by Dr. Nilesh Arvind Patel, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic, Inc.	$1,656 LigaSure $1,114	Signia $474	Sonicision $30	$39
Merz North America, Inc.	$515 Xeomin $515
Hologic Sales and Service, LLC	$108 CoolSeal Generator $108
Davol Inc.	$60 Phasix Mesh $60
Baxter Healthcare	$54 TISSEEL $54
Other	$82 Wegovy $47	ZEPBOUND $21	TALICIA $15

**Types of Payments**
Food and Beverage	$1,575
Travel and Lodging	$901

Biography

Dr. Nilesh Patel is a general surgery and bariatric surgery specialist. Areas of expertise for Dr. Patel include gastric bypass surgery, gallbladder problems, and hernia. After completing medical school at UMDNJ-Robert Wood Johnson Medical School, he performed his residency at Allegheny General Hospital. Dr. Patel speaks Gujarati. He is professionally affiliated with Methodist Health System.