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KRUNALBHAI RAMANBHAI PATEL
NPI 1154697845
Hospitalist in Waukesha, WI

Active since March 27, 2012PECOS Enrolled
725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-5400 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krunalbhai Ramanbhai Patel NPPES

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

KRUNALBHAI RAMANBHAI PATEL (NPI 1154697845) is an individual hospitalist provider in Waukesha, Wisconsin, licensed in Wisconsin (63843-20) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154697845
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKRUNALBHAI RAMANBHAI PATEL
Location Address725 AMERICAN AVEWaukesha, WI 53188-5099
Mailing AddressW143n9671 Amber DrGermantown, WI 53022-5362
Phone(262) 928-5400
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 27, 2012
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1154697845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 63843-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
725 AMERICAN AVE, Waukesha, WI 53188
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krunalbhai Ramanbhai Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032423108
PECOS Enrollment IDI20150803001563
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
514 services212 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
179 services173 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
117 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$79.97 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 20

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

MS. NATASHA JEAN PINKERTON LCSW
Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. FRANCISCO PEREZ M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 544-2011
ANNETTE QUINN NP
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Waukesha County (262) 928-3500
ELIZABETH ROSE LEMM PA-C
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. JASON GEORGE ULRICHS M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 787-6700
DAWN MICHELLE GOODREAU NNP-BC, APNP
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (210) 685-0887
KAYLA DAVIS APNP
Nurse Practitioner (Acute Care)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. ALYSSA JELINEK
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000

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 Krunalbhai Patel's NPI number?

The NPI number for Krunalbhai Patel is 1154697845. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Krunalbhai Patel located?

Krunalbhai Patel practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-5400.

What is Krunalbhai Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Krunalbhai Patel enrolled in Medicare?

Yes. Krunalbhai Patel is registered in the Medicare PECOS enrollment system.

Is Krunalbhai Patel affiliated with any hospitals?

According to CMS data, Krunalbhai Patel is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Krunalbhai Patel was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.