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KRUPAL PATEL
NPI 1093401853
Physician Assistant in Baltimore, MD

Active since April 14, 2023PECOS EnrolledAccepts Medicare Assignment
301 SAINT PAUL ST, BALTIMORE, MD 21202(410) 332-9654 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Apr 14, 2023 (2 updates tracked since 2023).

About Krupal Patel NPPES

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

KRUPAL PATEL (NPI 1093401853) is an individual physician assistant in Baltimore, Maryland and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093401853
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKRUPAL PATEL
Location Address301 SAINT PAUL STBaltimore, MD 21202-2102
Mailing Address301 Saint Paul StBaltimore, MD 21202-2102
Phone(410) 332-9654
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 14, 2023
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1093401853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 SAINT PAUL ST, Baltimore, MD 21202
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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

Krupal Patel 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 ID2961935036
PECOS Enrollment IDI20241028002620, I20260408001258
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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 20

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

AUDREY FONKAM
Internal Medicine
301 SAINT PAUL ST
BALTIMORE, MD 21202
Baltimore City (410) 332-9808
MR. MICHAEL W HOBAN CRNA
Nurse Anesthetist, Certified Registered
301 SAINT PAUL ST
BALTIMORE, MD 21202
Baltimore City (410) 332-9375
NEUROSURGICAL SPECIALTY SERVICES, LLC
Neurological Surgery
301 SAINT PAUL ST, POB # 310
BALTIMORE, MD 21202
Baltimore City (410) 332-9872
JYLENE CANDELARIA PRUNA PT
Physical Therapist
301 SAINT PAUL ST
BALTIMORE, MD 21202
Baltimore City (410) 659-9688
MICHAEL SELLMAN, M.D., P.A.
Psychiatry & Neurology (Neurology)
301 SAINT PAUL ST, POB 402
BALTIMORE, MD 21202
Baltimore City (410) 347-1891
CHARLES C EDWARDS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
301 SAINT PAUL ST, SPINE CENTER, LOWER LEVEL
BALTIMORE, MD 21202
Baltimore City (410) 539-3434
UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 SAINT PAUL ST
BALTIMORE, MD 21202
Baltimore City (667) 214-1718
DRS' POSNER, COX & ASSOCIATES, P.A.
Specialist
301 SAINT PAUL ST, SUITE 718
BALTIMORE, MD 21202
Baltimore City (410) 332-9356

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 Krupal Patel's NPI number?

The NPI number for Krupal Patel is 1093401853. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Krupal Patel located?

Krupal Patel practices at 301 Saint Paul St, Baltimore, MD 21202. The listed phone number is (410) 332-9654.

What is Krupal Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Krupal Patel enrolled in Medicare?

Yes. Krupal 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.

Is Krupal Patel affiliated with any hospitals?

According to CMS data, Krupal Patel is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Krupal Patel was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.