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DR. AKULKUMAR MUKESHBHAI PATEL MD
NPI 1023638459
Family Medicine in Philadelphia, PA

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment
9896 BUSTLETON AVE, PHILADELPHIA, PA 19115(877) 279-5960(877) 384-3106 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Jun 25, 2024 (2 updates tracked since 2024).

About Dr. Akulkumar Mukeshbhai Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AKULKUMAR MUKESHBHAI PATEL MD (NPI 1023638459) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481414) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023638459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AKULKUMAR MUKESHBHAI PATELCredential: MD
Location Address9896 BUSTLETON AVEPhiladelphia, PA 19115-5202
Mailing Address9896 Bustleton AvePhiladelphia, PA 19115-5202 · (877) 279-5960 · Fax (877) 384-3106
Phone(877) 279-5960
Fax(877) 384-3106
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 27, 2020
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1023638459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD481414✔ Licensed in MA · 1022952
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9896 BUSTLETON AVE, Philadelphia, PA 19115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Akulkumar Mukeshbhai Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143643049
PECOS Enrollment IDI20240718003575
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Akulkumar Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ch Specialty Services PA PC
42 mi
Internal Medicine
526 N SAINT CLOUD ST # 1601
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 120 clinicians in this Medicare group
NPI 1295438547 (337) 408-0797
Curana Health Of Pennsylvania PC
42 mi
Internal Medicine
526 N SAINT CLOUD ST # 1601
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 152 clinicians in this Medicare group
NPI 1679205876 (337) 991-9276
Ch Specialty Services Ma PC
193 mi
Internal Medicine
819 WORCESTER ST STE 1
Springfield, MA 01151
  • Reassigned Medicare billing, Massachusetts enrollment
  • 134 clinicians in this Medicare group
NPI 1902510720 (337) 991-9276
Curana Health Of Massachusetts LLC
193 mi
Internal Medicine
819 WORCESTER ST STE 1
Springfield, MA 01151
  • Reassigned Medicare billing, Massachusetts enrollment
  • 137 clinicians in this Medicare group
NPI 1154779445 (337) 991-9276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
429 services133 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
301 services92 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
128 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services68 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
27 services26 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERITZ PSYCHIATRIC ASSOCIATES
Psychiatry & Neurology (Psychiatry)
9896 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 934-3067
SHERIN SUNNY
Speech-Language Pathologist
9896 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (877) 318-3026
MISS BARBARA ANNE CULVER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9896 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (609) 934-2597
ANNE GARSTKA CF-SLP
Student in an Organized Health Care Education/Training Program
9896 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 435-4297
ZHANNA SLAVUTSKY CRNP
Internal Medicine (Geriatric Medicine)
9896 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 934-3000
MRS. CHRISTINE KAMPH P.T.
Physical Therapist
9896 BUSTLETON AVE
PHILA, PA 19115
Philadelphia County (215) 934-3064
NOREEN LOUREIRO
Occupational Therapist
9896 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 934-3000
MRS. COLLEEN C DOYLE
Physical Therapy Assistant
9896 BUSTLETON AVE
PHILA, PA 19115
Philadelphia County (215) 934-3064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Akulkumar Patel's NPI number?

The NPI number for Akulkumar Patel is 1023638459. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Akulkumar Patel located?

Akulkumar Patel practices at 9896 Bustleton Ave, Philadelphia, PA 19115. The listed phone number is (877) 279-5960.

What is Akulkumar Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Akulkumar Patel enrolled in Medicare?

Yes. Akulkumar Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Akulkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akulkumar Patel reassigns Medicare benefits to 4 organizations: Ch Specialty Services PA PC (Allentown, PA), Curana Health Of Pennsylvania PC (Allentown, PA), Ch Specialty Services Ma PC (Springfield, MA) and Curana Health Of Massachusetts LLC (Springfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Akulkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akulkumar Patel accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Akulkumar Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Akulkumar Patel was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.