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KRUPA HASMUKH PATEL M.D.
NPI 1104245737
Ophthalmology in Birmingham, AL

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
75.81/100
CMS Quality Rating
700 18TH ST S STE 601, BIRMINGHAM, AL 35233(205) 325-8620 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Sep 11, 2019, Nov 7, 2016 (3 updates tracked since 2016).

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

NPI1104245737
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKRUPA HASMUKH PATELCredential: M.D.
Location Address700 18TH ST S STE 601Birmingham, AL 35233-3800
Mailing AddressP.o. Box 830941, Msc# 559Birmingham, AL 35283 · (205) 325-8536 · Fax (205) 325-8270
Phone(205) 325-8620
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1104245737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AL · 38634
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
700 18TH ST S STE 601, Birmingham, AL 35233
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

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.

PECOS PAC ID3971729922
PECOS Enrollment IDI20191023001895
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.

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.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

75.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.29
Promoting Interoperability86
Improvement Activities40
Cost41.73

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.

DR. TIM J THOMPSON OD
Optometrist
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
DR. PARISA TACKETT DUDLEY O.D.
Optometrist
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
WILLIAM CHARLES GAMBLA MD
Student in an Organized Health Care Education/Training Program
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 996-8660
ANN MARIE ARCINIEGAS-BERNAL M.D.
Ophthalmology
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
RUSSELL W READ MD
Ophthalmology
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620

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.

What insurance does Krupa Patel accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 7 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 5 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.