KRUPA HASMUKH PATEL M.D.
NPI 1104245737
Ophthalmology in Birmingham, AL
About Krupa Hasmukh Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRUPA HASMUKH PATEL M.D. (NPI 1104245737) is an individual ophthalmology provider in Birmingham, Alabama, licensed in Alabama (38634) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
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
Krupa Hasmukh Patel M.d. 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 Reassignment
Medicare enrollment records show Krupa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 81 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35233
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 Krupa Patel's NPI number?
The NPI number for Krupa Patel is 1104245737. It was assigned to this individual provider in the NPPES registry on April 10, 2014.
Where is Krupa Patel located?
Krupa Patel practices at 700 18th St S Ste 601, Birmingham, AL 35233. The listed phone number is (205) 325-8620.
What is Krupa Patel's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Krupa Patel enrolled in Medicare?
Yes. Krupa 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 Krupa Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Patel reassigns Medicare benefits to University Of Alabama Ophthalmology Services Foundation (Birmingham, AL). 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 Krupa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krupa Patel accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Krupa 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 Krupa Patel was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Krupa Hasmukh Patel, M.D. · NPI 1104245737
Ophthalmology physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since April 10, 2014.
## Identity
- **NPI:** 1104245737 (Entity type: Individual)
- **Enumerated:** April 10, 2014
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 38634 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 18TH ST S STE 601, Birmingham, AL 35233-3800
- **Phone:** (205) 325-8620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Alabama Ophthalmology Services Foundation (NPI 1265485999, Birmingham, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** August 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104245737) · Data from the CMS NPPES public registry.