KALPESH PRAHLADBHAI PATEL MD
NPI 1073732830
Internal Medicine - Pulmonary Disease in Kyle, TX
About Kalpesh Prahladbhai Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALPESH PRAHLADBHAI PATEL MD (NPI 1073732830) is an individual pulmonary disease provider in Kyle, Texas, licensed in Texas (N7649) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Kalpesh Prahladbhai 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kalpesh Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kyle, TX 78640
- Reassigned Medicare billing, Texas enrollment
Austin, TX 78759
- Reassigned Medicare billing, Texas enrollment
- 89 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 104 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 34
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Seton Medical Center Austin
Acute Care Hospitals · Austin, TXGuadalupe Regional Medical Center
Acute Care Hospitals · Seguin, TXAscension Seton Hays
Acute Care Hospitals · Kyle, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 29
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KYLE, TX 78640
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 Kalpesh Patel's NPI number?
The NPI number for Kalpesh Patel is 1073732830. It was assigned to this individual provider in the NPPES registry on April 24, 2007.
Where is Kalpesh Patel located?
Kalpesh Patel practices at 211 Elmhurst Suite D/E, Kyle, TX 78640. The listed phone number is (512) 410-4153.
What is Kalpesh Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Kalpesh Patel enrolled in Medicare?
Yes. Kalpesh 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 Kalpesh Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalpesh Patel reassigns Medicare benefits to 3 organizations: Texas Institute Of Interventional Pulmonary & Sleep, Ltd (Kyle, TX), Austin Critical Care Specialists PA (Austin, TX) and Usacs Critical Care Medicine Services Of Texas, PLLC (Cedar Park, TX). 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 Kalpesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalpesh Patel accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Kalpesh 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.
Is Kalpesh Patel affiliated with any hospitals?
According to CMS data, Kalpesh Patel is affiliated with Ascension Seton Medical Center Austin, Guadalupe Regional Medical Center and Ascension Seton Hays.
When was this NPI record last updated?
The NPPES record for Kalpesh Patel was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.