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KAJAL PATEL CNP
NPI 1053276436
Nurse Practitioner - Family in Columbus, OH

Active since December 18, 2025PECOS EnrolledAccepts Medicare Assignment
3637 S HIGH ST, COLUMBUS, OH 43207(614) 748-0205 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kajal Patel Cnp NPPES

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

KAJAL PATEL CNP (NPI 1053276436) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0040227) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053276436
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAJAL PATELCredential: CNP
Location Address3637 S HIGH STColumbus, OH 43207-4009
Mailing Address616 Lumination Ave Unit DColumbus, OH 43240-2280 · (614) 432-2879
Phone(614) 748-0205
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1053276436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0040227
3637 S HIGH ST, Columbus, OH 43207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kajal Patel Cnp 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 ID1951888478
PECOS Enrollment IDI20260127001133
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 Reassignment

Medicare enrollment records show Kajal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Little Clinic Of Ohio LLC
94 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43207 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

GRAZIA ANN SORICE CANNON CNP
Nurse Practitioner (Family)
3637 S HIGH ST
COLUMBUS, OH 43207
Franklin County (614) 748-0205
KELLY ANN BANDY
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3637 S HIGH ST
COLUMBUS, OH 43207
Franklin County (614) 492-1081
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
3637 S HIGH ST
COLUMBUS, OH 43207
Franklin County (614) 492-1081
ELLEN ALEXA MACDONALD CNP
Nurse Practitioner (Family)
3637 S HIGH ST
COLUMBUS, OH 43207
Franklin County (614) 748-0205
DR. DANIEL MARKIEWITZ PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3637 S HIGH ST
COLUMBUS, OH 43207
Franklin County (614) 492-1081
MS. MICHELLE NICOLE FERGUSON FNP-C
Nurse Practitioner (Family)
3637 S HIGH ST
COLUMBUS, OH 43207
Franklin County (614) 748-0205

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 Kajal Patel's NPI number?

The NPI number for Kajal Patel is 1053276436. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Kajal Patel located?

Kajal Patel practices at 3637 S High St, Columbus, OH 43207. The listed phone number is (614) 748-0205.

What is Kajal Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kajal Patel enrolled in Medicare?

Yes. Kajal 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 organization bills Medicare for Kajal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kajal Patel reassigns Medicare benefits to The Little Clinic Of Ohio LLC (Cincinnati, OH). The 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 Kajal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kajal Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Oscar Health Insurance list Kajal 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 Kajal Patel was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.