DR. KAUSHAL PATEL M.D.
NPI 1174637318
Emergency Medicine in Lexington, TN

Q: What is Kaushal Patel's NPI number?

The NPI number for Kaushal Patel is 1174637318. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Kaushal Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaushal Patel was last updated on June 7, 2024. 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.

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment

48.71/100

CMS Quality Rating

200 W CHURCH ST, LEXINGTON, TN 38351(731) 968-3646 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2024, Jul 7, 2022, Jul 19, 2019 (3 updates tracked since 2019).

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About Dr. Kaushal Patel M.d. NPPES

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

DR. KAUSHAL PATEL M.D. (NPI 1174637318) is an individual emergency medicine provider in Lexington, Tennessee, licensed in Tennessee (41537) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174637318

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KAUSHAL PATELCredential: M.D.

Location Address200 W CHURCH STLexington, TN 38351-2038

Mailing Address200 W Church StLexington, TN 38351-2038 · (731) 968-3646

Phone(731) 968-3646

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 17, 2006

Last NPPES UpdateJune 7, 20243 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1174637318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 41537✔ Licensed in TX · M2441

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License M2441 (TX), 41537 (TN)

Also ListedInternal MedicineTaxonomy 207R00000X · License 41537 (TN)

Also ListedPediatricsTaxonomy 208000000X · License 41537 (TN)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 41537 (TN)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 41537 (TN)

Also ListedSurgeryTaxonomy 208600000X · License 41537 (TN)

200 W CHURCH ST, Lexington, TN 38351

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Secondary Practice Locations 4

Location 1205 Trace DrJackson, TN 38305-1580 · Phone (432) 770-9391

Location 22545 N Washington AveBrownsville, TN 38012-1610 · Phone (931) 289-4211

Location 35001 E Main StErin, TN 37061-4115 · Phone (931) 289-4211

Location 4270 W Church St Ste ALexington, TN 38351-2077 · Phone (731) 968-3646

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

Dr. Kaushal 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 ID3375577406

PECOS Enrollment IDI20070326000257

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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

263 services225 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

250 services230 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

225 services202 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

223 services151 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

204 services183 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

95 services84 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN

OwnershipProprietary

CMS Certification Number440008

Location200 W Church StLexington, TN 38351 · Henderson County

Emergency services

Haywood County Community Hospital

Acute Care Hospitals · Brownsville, TN

OwnershipProprietary

CMS Certification Number440238

Location2545 North Washington AvenueBrownsville, TN 38012 · Haywood County

Emergency services

Houston County Community Hospital

Critical Access Hospitals · Erin, TN

OwnershipGovernment - Local

CMS Certification Number441322

Location5001 East Main StreetErin, TN 37061 · Houston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

48.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

96.71

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.

LEXINGTON HOSPITAL CORPORATION

Family Medicine