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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristy Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Providence Hospital
12 mi
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • Also billed through NPI 1265497226 (Michigan)
  • 393 clinicians in this Medicare group
NPI 1619932670 (248) 849-3000

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

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)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
BROOKE ALISON BENOWITZ
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-4883
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414

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 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.

Where is Kristy Patel located?

Kristy Patel practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-7496.

What is Kristy Patel's specialty?

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

Is Kristy Patel enrolled in Medicare?

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

Which organization bills Medicare for Kristy Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Patel reassigns Medicare benefits to Ascension Providence Hospital (Southfield, MI). The 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 Kristy Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristy Patel accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kristy 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 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.