1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Physician Assistant
  6. NPI Profile

KOMAL PATEL PA-C
NPI 1154666238
Physician Assistant - Medical in Raleigh, NC

Active since November 30, 2012PECOS EnrolledAccepts Medicare Assignment
8340 BANDFORD WAY STE 1, RALEIGH, NC 27615(919) 845-3332 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Aug 16, 2019 (2 updates tracked since 2019).

About Komal Patel Pa-c NPPES

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

KOMAL PATEL PA-C (NPI 1154666238) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (001003735) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154666238
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKOMAL PATELCredential: PA-C
Location Address8340 BANDFORD WAY STE 1Raleigh, NC 27615-2755
Mailing Address8340 Bandford Way Ste 1Raleigh, NC 27615-2755 · (919) 845-3332
Phone(919) 845-3332
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 30, 2012
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1154666238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 001003735
8340 BANDFORD WAY STE 1, Raleigh, NC 27615
Open in Google Maps ↗

Secondary Practice Location 1

Location 16404 Albemarle Rd, Suite J & KCharlotte, NC 28212-3800 · Phone (704) 532-8884

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Komal Patel Pa-c 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 ID1658516604
PECOS Enrollment IDI20130323000091
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services22 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
33 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers45 claims45 services$174.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JENNIPHER SHARON HIESTER PA-C
Physician Assistant
8340 BANDFORD WAY STE 1
RALEIGH, NC 27615
Wake County (919) 845-3332
TRISHA NOEL VANDERPLOEG PNP
Nurse Practitioner (Pediatrics)
8340 BANDFORD WAY STE 1
RALEIGH, NC 27615
Wake County (919) 845-3332
GEORGINA POLANCO CASTILLO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8340 BANDFORD WAY STE 1
RALEIGH, NC 27615
Wake County (919) 845-3332
DR. JULIA WARREN-ULANCH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8340 BANDFORD WAY STE 1
RALEIGH, NC 27615
Wake County (919) 845-3332

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 Komal Patel's NPI number?

The NPI number for Komal Patel is 1154666238. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Where is Komal Patel located?

Komal Patel practices at 8340 Bandford Way Ste 1, Raleigh, NC 27615. The listed phone number is (919) 845-3332.

What is Komal Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Komal Patel enrolled in Medicare?

Yes. Komal 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 Komal Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Komal 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 Komal Patel was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.