DR. KALPANA PATEL M.D.
NPI 1285641233
Specialist in Long Beach, CA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
50.75/100
CMS Quality Rating
3833 WORSHAM AVENUE, SUITE 300, LONG BEACH, CA 90808(562) 595-5421(562) 426-2826 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Kalpana Patel M.d. NPPES

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

DR. KALPANA PATEL M.D. (NPI 1285641233) is an individual specialist in Long Beach, California, licensed in California (A55961) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1285641233
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. KALPANA PATELCredential: M.D.
Location Address3833 WORSHAM AVENUE, SUITE 300Long Beach, CA 90808-1766
Mailing Address3833 Worsham Avenue, Suite 300Long Beach, CA 90808-1766 · (562) 595-5421 · Fax (562) 426-2826
Fax(562) 426-2826
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 2, 2006
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1285641233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A55961
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3833 WORSHAM AVENUE, Long Beach, CA 90808

Other Identifiers 1

MedicaidGR0058960CA

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. Kalpana 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 ID7517002041
PECOS Enrollment IDI20100308000906
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 13

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.

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.
170 services153 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.
161 services133 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
138 services138 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
118 services115 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
106 services106 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.
59 services59 patients

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.

50.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.29
Improvement Activities0
Cost76.81

Other Providers at the Same Location NPPES 6

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

Specialist
3833 WORSHAM AVENUE, SUITE 300
LONG BEACH, CA 90808
Specialist
3833 WORSHAM AVENUE, SUITE 300
LONG BEACH, CA 90808
Internal Medicine (Gastroenterology)
3833 WORSHAM AVENUE, SUITE 300
LONG BEACH, CA 90808
Specialist
3833 WORSHAM AVENUE, SUITE 300
LONG BEACH, CA 90808
Specialist
3833 WORSHAM AVENUE, SUITE 300
LONG BEACH, CA 90808
Internal Medicine (Gastroenterology)
3833 WORSHAM AVENUE, SUITE 300
LONG BEACH, CA 90808

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 Kalpana Patel's NPI number?

The NPI number for Kalpana Patel is 1285641233. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Kalpana Patel located?

Kalpana Patel practices at 3833 Worsham Avenue Suite 300, Long Beach, CA 90808. The listed phone number is (562) 595-5421.

What is Kalpana Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kalpana Patel enrolled in Medicare?

Yes. Kalpana 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.

When was this NPI record last updated?

The NPPES record for Kalpana Patel was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.