KETAN M PATEL MD
NPI 1033344817
Plastic Surgery in Tarzana, CA

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment
5411 ETIWANDA AVE STE 200, TARZANA, CA 91356(310) 423-2129(310) 423-4145 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2022, Sep 13, 2020, Aug 28, 2020 and 1 more (4 updates tracked since 2019).

About Ketan M Patel Md NPPES

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

KETAN M PATEL MD (NPI 1033344817) is an individual plastic surgery provider in Tarzana, California, licensed in California (A132442) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University School Of Medicine (2007).

NPPES Registry Identity

NPI1033344817
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameKETAN M PATELCredential: MD
Location Address5411 ETIWANDA AVE STE 200Tarzana, CA 91356-3648
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Fax(310) 423-4145
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateMay 21, 2009
Last NPPES UpdateSeptember 7, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1033344817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in CA · A132442✔ Licensed in DC · MD040884
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5411 ETIWANDA AVE STE 200, Tarzana, CA 91356

Secondary Practice Locations 2

Location 11450 San Pablo St Ste 6200Los Angeles, CA 90033-5331 · Phone (323) 442-7920
Location 218133 Ventura Blvd Ste 300Tarzana, CA 91356-3645 · Phone (310) 423-2129 · Fax (310) 423-4145

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

Ketan M 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 ID8022239763
PECOS Enrollment IDI20141022002477
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

3

Medicare enrollment records show Ketan Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
General Acute Care Hospital
8700 BEVERLY BLVD
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 1,001 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91356 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 4

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

Urology (Urogynecology and Reconstructive Pelvic Surgery)
5411 ETIWANDA AVE STE 200
TARZANA, CA 91356
Allergy & Immunology
5411 ETIWANDA AVE STE 200
TARZANA, CA 91356
Family Medicine
5411 ETIWANDA AVE STE 200
TARZANA, CA 91356
Internal Medicine (Sleep Medicine)
5411 ETIWANDA AVE STE 200
TARZANA, CA 91356

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 Ketan Patel's NPI number?

The NPI number for Ketan Patel is 1033344817. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Ketan Patel located?

Ketan Patel practices at 5411 Etiwanda Ave Ste 200, Tarzana, CA 91356. The listed phone number is (310) 423-2129.

What is Ketan Patel's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Ketan Patel enrolled in Medicare?

Yes. Ketan 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 Ketan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketan Patel reassigns Medicare benefits to 3 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Cedars-Sinai Medical Center (Los Angeles, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). 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 Ketan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ketan Patel was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.