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KISHI M PATEL DO
NPI 1265992242
Family Medicine - Sports Medicine in Jackson Heights, NY

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7206 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372(866) 670-6824 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2023, Sep 17, 2021 (2 updates tracked since 2021).

About Kishi M Patel Do NPPES

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

KISHI M PATEL DO (NPI 1265992242) is an individual sports medicine provider in Jackson Heights, New York, licensed in New York (316127) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265992242
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameKISHI M PATELCredential: DO
Location Address7206 NORTHERN BLVDJackson Heights, NY 11372-1049
Mailing Address423 Acorn DrParamus, NJ 07652-4144
Phone(866) 670-6824
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 25, 2019
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1265992242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NY · 316127
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT019007 (PA)
7206 NORTHERN BLVD, Jackson Heights, NY 11372
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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

Kishi M Patel Do 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 ID749607760
PECOS Enrollment IDI20230627000124
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 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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
69 services42 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.
50 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 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.
26 services19 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
22 services13 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims24 services$6.53 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 8

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

MS. SUSANA K CHAN PA
Physician Assistant
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (866) 670-6824
DR. REZA ZARNEGAR D.O.
Psychiatry & Neurology (Neurology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (718) 670-1512
PANAGIOTA KATSOS PT
Physical Therapist
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (844) 734-2201
KEVIN I PAK MD
Physical Medicine & Rehabilitation (Sports Medicine)
7206 NORTHERN BLVD, 2ND FLOOR
JACKSON HEIGHTS, NY 11372
Queens County (866) 670-6824
MATTHEW SPANO MD
Radiology (Diagnostic Radiology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (718) 428-1500
MAIN STREET RADIOLOGY AT BAYSIDE LLC
Radiology (Diagnostic Radiology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (718) 428-1500
MR. ANTHONY LUCIANO VUCENIK PT
Physical Therapist
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (844) 734-2201
LIBI ZAHAVA GALMER D.O.
Neuromusculoskeletal Medicine, Sports Medicine
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Queens County (718) 670-6824

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 Kishi Patel's NPI number?

The NPI number for Kishi Patel is 1265992242. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Kishi Patel located?

Kishi Patel practices at 7206 Northern Blvd, Jackson Heights, NY 11372. The listed phone number is (866) 670-6824.

What is Kishi Patel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kishi Patel enrolled in Medicare?

Yes. Kishi 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.

Is Kishi Patel affiliated with any hospitals?

According to CMS data, Kishi Patel is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Kishi Patel was last updated on May 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.