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UPENKUMAR PATEL MD
NPI 1295231140
Hospitalist in Lowell, MA

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6439 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2024, Apr 10, 2018, Mar 31, 2018 (3 updates tracked since 2018).

About Upenkumar Patel Md NPPES

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

UPENKUMAR PATEL MD (NPI 1295231140) is an individual hospitalist provider in Lowell, Massachusetts, licensed in Massachusetts (289467) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1295231140
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameUPENKUMAR PATELCredential: MD
Location Address295 VARNUM AVELowell, MA 01854-2193
Mailing Address295 Varnum AveLowell, MA 01854-2193
Phone(978) 937-6439
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 31, 2018
Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1295231140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 289467
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 289467 (MA)
295 VARNUM AVE, Lowell, MA 01854
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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

Upenkumar Patel Md 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 ID4688911092
PECOS Enrollment IDI20210913002134
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
262 services257 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01854 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

RAVI KRISHNA MURTHY MD
Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6161
NICOLE FLAHERTY
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MRS. JULIE FRANCES VERGADOS SIMONEAU
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6088
KELLY SURABIAN
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MISS MICHELLE MUKASA PA-C
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
DR. SUFYAN A SHEIKH MD
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Middlesex County (978) 454-0941
DR. CYNTHIA LYNN MANNING M.D.
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
JULIEANN DUONG PA-C
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000

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 Upenkumar Patel's NPI number?

The NPI number for Upenkumar Patel is 1295231140. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is Upenkumar Patel located?

Upenkumar Patel practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6439.

What is Upenkumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Upenkumar Patel enrolled in Medicare?

Yes. Upenkumar 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 Upenkumar Patel affiliated with any hospitals?

According to CMS data, Upenkumar Patel is affiliated with Lawrence General Hospital and Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Upenkumar Patel was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.