DR. KINNER M PATEL M.D,
NPI 1154708246
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment
84.17/100
CMS Quality Rating
1900 UNIVERSITY BLVD TINSLEY HARRISON TOWER SUITE 422, BIRMINGHAM, AL 35294(205) 996-5864 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kinner M Patel M.d, NPPES

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

DR. KINNER M PATEL M.D, (NPI 1154708246) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (42243) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154708246
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KINNER M PATELCredential: M.D,
Location Address1900 UNIVERSITY BLVD TINSLEY HARRISON TOWER SUITE 422Birmingham, AL 35294-2306
Mailing Address1900 University Blvd Tinsley Harrison Tower Suite 422Birmingham, AL 35294-0001
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 28, 2015
Last NPPES UpdateJune 30, 2023
NPPES CertifiedSeptember 17, 2021
✔ NPI 1154708246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in AL · 42243
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1900 UNIVERSITY BLVD TINSLEY HARRISON TOWER SUITE 422, Birmingham, AL 35294

Secondary Practice Locations 2

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-5240 · Fax (315) 464-3751
Location 2500 22nd St SBirmingham, AL 35233-3110 · Phone (205) 996-5864

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. Kinner M Patel M.d, 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 ID4183958804
PECOS Enrollment IDI20210727000818
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 Reassignments

3

Medicare enrollment records show Kinner Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Pulmonary Disease
800 SAINT VINCENTS DR STE 600
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 31 clinicians in this Medicare group
Family Medicine
3316 HIGHWAY 280
Alexander City, AL 35010
  • Reassigned Medicare billing, Alabama enrollment
  • 83 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services15 patients
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.
20 services19 patients
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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

84.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.1
Promoting Interoperability100
Improvement Activities40
Cost70.15

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.44 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

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

Internal Medicine (Pulmonary Disease)
1900 UNIVERSITY BLVD TINSLEY HARRISON TOWER SUITE 422
BIRMINGHAM, AL 35294

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 Kinner Patel's NPI number?

The NPI number for Kinner Patel is 1154708246. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Kinner Patel located?

Kinner Patel practices at 1900 University Blvd Tinsley Harrison Tower Suite 422, Birmingham, AL 35294. The listed phone number is (205) 996-5864.

What is Kinner Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kinner Patel enrolled in Medicare?

Yes. Kinner 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 organizations bill Medicare for Kinner Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kinner Patel reassigns Medicare benefits to 3 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Stv Pulmonary Group LLC (Birmingham, AL) and Russell Hospital Corporation (Alexander City, AL). Each 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 Kinner Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kinner Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Kinner 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 Kinner Patel was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.