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KIRTI PATEL MD
NPI 1104874312
Obstetrics & Gynecology in Southbridge, MA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
100 SOUTH ST STE G05, SOUTHBRIDGE, MA 01550(508) 765-5981(508) 764-4637 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2018, Mar 4, 2016 (2 updates tracked since 2016).

About Kirti Patel Md NPPES

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

KIRTI PATEL MD (NPI 1104874312) is an individual obstetrics & gynecology provider in Southbridge, Massachusetts, licensed in Massachusetts (208459) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104874312
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIRTI PATELCredential: MD
Location Address100 SOUTH ST STE G05Southbridge, MA 01550-4051
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799 · Fax (508) 909-7750
Phone(508) 765-5981
Fax(508) 764-4637
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 10, 20182 updates tracked since enumeration
✔ NPI 1104874312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 208459
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 SOUTH ST STE G05, Southbridge, MA 01550
Open in Google Maps ↗

Other Identifiers 1

Medicaid110003671AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kirti 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.

PECOS PAC ID6709869183
PECOS Enrollment IDI20040608000486
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
35 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services14 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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 Kirti Patel's NPI number?

The NPI number for Kirti Patel is 1104874312. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kirti Patel located?

Kirti Patel practices at 100 South St Ste G05, Southbridge, MA 01550. The listed phone number is (508) 765-5981.

What is Kirti Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kirti Patel enrolled in Medicare?

Yes. Kirti 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 Kirti Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Kirti 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 Kirti Patel affiliated with any hospitals?

According to CMS data, Kirti Patel is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Kirti Patel was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.