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GUNJAN KANAIYALAL PATEL DO
NPI 1093395519
Family Medicine in Apex, NC

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
1481 RICHARDSON RD STE 118, APEX, NC 27523(919) 385-5650(919) 385-9341 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Gunjan Kanaiyalal Patel Do NPPES

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

GUNJAN KANAIYALAL PATEL DO (NPI 1093395519) is an individual family medicine provider in Apex, North Carolina, licensed in South Carolina (LL83501) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093395519
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUNJAN KANAIYALAL PATELCredential: DO
Location Address1481 RICHARDSON RD STE 118Apex, NC 27523-8073
Mailing Address1481 Richardson Rd Ste 118Apex, NC 27523-8073 · (919) 385-5650 · Fax (919) 385-9341
Phone(919) 385-5650
Fax(919) 385-9341
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1093395519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · LL83501
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.
1481 RICHARDSON RD STE 118, Apex, NC 27523
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gunjan Kanaiyalal Patel Do 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 ID3678976958
PECOS Enrollment IDI20241008004497
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.

Areas of Expertise CMS Part B claims 2

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.
17 services17 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27523 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Gunjan Patel's NPI number?

The NPI number for Gunjan Patel is 1093395519. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Gunjan Patel located?

Gunjan Patel practices at 1481 Richardson Rd Ste 118, Apex, NC 27523. The listed phone number is (919) 385-5650.

What is Gunjan Patel's specialty?

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

Is Gunjan Patel enrolled in Medicare?

Yes. Gunjan 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.

What insurance does Gunjan Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Gunjan 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 Gunjan Patel affiliated with any hospitals?

According to CMS data, Gunjan Patel is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Gunjan Patel was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.