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DR. KARTICK PATEL DPM
NPI 1174938112
Podiatrist - Foot & Ankle Surgery in Hilliard, OH

Active since June 28, 2014PECOS Enrolled
86.26/100
CMS Quality Rating
5539 HILLIARD ROME OFFICE PARK, HILLIARD, OH 43026(614) 636-3668(614) 363-4922 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2020, Jun 14, 2017 (2 updates tracked since 2017).

About Dr. Kartick Patel Dpm NPPES

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

DR. KARTICK PATEL DPM (NPI 1174938112) is an individual foot & ankle surgery provider in Hilliard, Ohio, licensed in Ohio (36.003806) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174938112
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KARTICK PATELCredential: DPM
Location Address5539 HILLIARD ROME OFFICE PARKHilliard, OH 43026-7287
Mailing Address5539 Hilliard Rome Office ParkHilliard, OH 43026-7287 · (224) 678-3955
Phone(614) 636-3668
Fax(614) 363-4922
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 28, 2014
Last NPPES UpdateFebruary 3, 20202 updates tracked since enumeration
✔ NPI 1174938112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in OH · 36.003806✔ Licensed in OH · 1174938112
5539 HILLIARD ROME OFFICE PARK, Hilliard, OH 43026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kartick Patel Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163790239
PECOS Enrollment IDI20170613002219
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

5

Medicare enrollment records show Kartick Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hilliard Family Podiatry, LLC.
Same address
Podiatrist
5539 HILLIARD ROME OFFICE PARK
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1285093625 (614) 636-3668
David B Kaplansky DPM Inc
8.2 mi
Podiatrist
4485 N HIGH ST
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1790814325 (614) 291-5555
Community Medical Specialists
59 mi
Foot & Ankle Surgery
7111 N. MAIN STREET ST 60
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1619285160 (937) 426-9500
Encore Clinical Services LLC
118 mi
Nurse Practitioner
12301 RIDGE RD
North Royalton, OH 44133
  • Reassigned Medicare billing, Ohio enrollment
  • 69 clinicians in this Medicare group
NPI 1184346140 (440) 652-8748
Wound Care Consultants LLC
121 mi
Foot & Ankle Surgery
6789 RIDGE RD STE 305
Parma, OH 44129
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1831495373 (323) 406-8325

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 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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
431 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
135 services71 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
68 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.4
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
60%25 patients3/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%142 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
11%1,794 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
39%264 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
13%813 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%856 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,646 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 27% · 494 patients
26%494 patients
Provide Patients Electronic Access to Their Health Information
81%557 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%134 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 279 patients
Patients totalRate: 0% · 279 patients
0%279 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. JENNIFER TRINIDAD D.P.M.
Podiatrist
5539 HILLIARD ROME OFFICE PARK, SUITE #120
HILLIARD, OH 43026
Franklin County (614) 636-3668
HILLIARD FAMILY PODIATRY, LLC.
Podiatrist
5539 HILLIARD ROME OFFICE PARK
HILLIARD, OH 43026
Franklin County (614) 636-3668
DR. ADAM MICHAEL THOMAS D.P.M
Podiatrist (Foot & Ankle Surgery)
5539 HILLIARD ROME OFFICE PARK
HILLIARD, OH 43026
Franklin County (614) 636-3668

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 Kartick Patel's NPI number?

The NPI number for Kartick Patel is 1174938112. It was assigned to this individual provider in the NPPES registry on June 28, 2014.

Where is Kartick Patel located?

Kartick Patel practices at 5539 Hilliard Rome Office Park, Hilliard, OH 43026. The listed phone number is (614) 636-3668.

What is Kartick Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kartick Patel enrolled in Medicare?

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

Which organizations bill Medicare for Kartick Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kartick Patel reassigns Medicare benefits to 5 organizations: Hilliard Family Podiatry, LLC. (Hilliard, OH), David B Kaplansky DPM Inc (Columbus, OH), Community Medical Specialists (Dayton, OH), Encore Clinical Services LLC (North Royalton, OH) and Wound Care Consultants LLC (Parma, OH). 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 Kartick Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kartick Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers list Kartick 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.

Is Kartick Patel affiliated with any hospitals?

According to CMS data, Kartick Patel is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Kartick Patel was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.