KISHAN PATEL
NPI 1144683640
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
395 W 12TH AVE, 3RD FLOOR, COLUMBUS, OH 43210(614) 293-3989 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2022, Apr 1, 2016 (2 updates tracked since 2016).

About Kishan Patel NPPES

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

KISHAN PATEL (NPI 1144683640) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2016).

NPPES Registry Identity

NPI1144683640
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKISHAN PATEL
Location Address395 W 12TH AVE, 3RD FLOORColumbus, OH 43210-1267
Mailing Address395 W 12th Ave, 3rd FloorColumbus, OH 43210-1267 · (614) 293-3989
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1144683640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 0101275146 (VA)
395 W 12TH AVE, Columbus, OH 43210

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

Kishan 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 ID7517252943
PECOS Enrollment IDI20250527001775, I20250528003348
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 Kishan Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
19450 DEERFIELD AVE
Lansdowne, VA 20176

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

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.

Student in an Organized Health Care Education/Training Program
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Vascular & Interventional Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Surgery
395 W 12TH AVE
COLUMBUS, OH 43210

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 Kishan Patel's NPI number?

The NPI number for Kishan Patel is 1144683640. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Kishan Patel located?

Kishan Patel practices at 395 W 12th Ave 3rd Floor, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is Kishan Patel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kishan Patel enrolled in Medicare?

Yes. Kishan 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 Kishan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kishan Patel reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA). 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 Kishan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kishan Patel was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.