DR. KRUNALKUMAR ASHOKBHAI PATEL MD
NPI 1124589213
Internal Medicine - Cardiovascular Disease in Dover, DE

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
540 S GOVERNORS AVE STE 201, DOVER, DE 19904(302) 672-4600 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Krunalkumar Ashokbhai Patel Md NPPES

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

DR. KRUNALKUMAR ASHOKBHAI PATEL MD (NPI 1124589213) is an individual cardiovascular disease provider in Dover, Delaware, licensed in Delaware (C1-0027844) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124589213
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KRUNALKUMAR ASHOKBHAI PATELCredential: MD
Location Address540 S GOVERNORS AVE STE 201Dover, DE 19904-3530
Mailing Address540 S Governors Ave Ste 201Dover, DE 19904-3530 · (302) 672-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 29, 2019
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1124589213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in DE · C1-0027844
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
540 S GOVERNORS AVE STE 201, Dover, DE 19904

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

Dr. Krunalkumar Ashokbhai 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 ID143613588
PECOS Enrollment IDI20250924003867
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.

Medicare Billing Reassignment

Medicare enrollment records show Krunalkumar Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
724 S NEW ST
Dover, DE 19904

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 7

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

Nurse Practitioner
540 S GOVERNORS AVE STE 201
DOVER, DE 19904
Physician Assistant
540 S GOVERNORS AVE STE 201
DOVER, DE 19904
Internal Medicine (Interventional Cardiology)
540 S GOVERNORS AVE STE 201
DOVER, DE 19904
Internal Medicine (Clinical Cardiac Electrophysiology)
540 S GOVERNORS AVE STE 201
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
540 S GOVERNORS AVE STE 201
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
540 S GOVERNORS AVE STE 201
DOVER, DE 19904
Internal Medicine (Interventional Cardiology)
540 S GOVERNORS AVE STE 201
DOVER, DE 19904

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 Krunalkumar Patel's NPI number?

The NPI number for Krunalkumar Patel is 1124589213. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Krunalkumar Patel located?

Krunalkumar Patel practices at 540 S Governors Ave Ste 201, Dover, DE 19904. The listed phone number is (302) 672-4600.

What is Krunalkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Krunalkumar Patel enrolled in Medicare?

Yes. Krunalkumar 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 Krunalkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krunalkumar Patel reassigns Medicare benefits to Bayhealth Medical Center, Inc (Dover, DE). 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 Krunalkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krunalkumar Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Krunalkumar 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 Krunalkumar Patel affiliated with any hospitals?

According to CMS data, Krunalkumar Patel is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Krunalkumar Patel was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.