KRISTY PRAKASH PATEL
NPI 1184243644
Pediatrics - Neonatal-Perinatal Medicine in Detroit, MI

Q: What is Kristy Patel's NPI number?

The NPI number for Kristy Patel is 1184243644. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Kristy Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Patel was last updated on July 8, 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.

Active since April 14, 2020PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-7496(313) 993-7118 Get Directions Write a Review

NPPES record last updated: July 8, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 8, 2023, Jun 19, 2023, Apr 15, 2020 (3 updates tracked since 2020).

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About Kristy Prakash Patel NPPES

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

KRISTY PRAKASH PATEL (NPI 1184243644) is an individual neonatal-perinatal medicine provider in Detroit, Michigan, licensed in Michigan (4301509557) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184243644

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameKRISTY PRAKASH PATEL

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address3901 Beaubien StDetroit, MI 48201-2196 · (313) 745-7496 · Fax (313) 993-7118

Phone(313) 745-7496

Fax(313) 993-7118

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 14, 2020

Last NPPES UpdateJuly 8, 20233 updates tracked since enumeration

NPPES CertifiedJuly 8, 2023

✔ NPI 1184243644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MI · 4301509557

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3901 BEAUBIEN ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-6562 · Fax (601) 918-2086

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5294147021

PECOS Enrollment IDI20260701002378

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.

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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)