UPENKUMAR PATEL MD
NPI 1295231140
Hospitalist in Lowell, MA
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 maintains a secondary practice location in Springfield.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Upenkumar Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lowell, MA 01854
- Reassigned Medicare billing, Massachusetts enrollment
- 109 clinicians in this Medicare group
Melrose, MA 02176
- Reassigned Medicare billing, Massachusetts enrollment
- 176 clinicians in this Medicare group
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 168 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MALowell General Hospital
Acute Care Hospitals · Lowell, MAPhysician 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.
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.
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.
Which organizations bill Medicare for Upenkumar Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Upenkumar Patel reassigns Medicare benefits to 3 organizations: Lowell General Inpatient Specialists PLLC (Lowell, MA), Massachusetts Acute Care Specialists PC (Melrose, MA) and Mercy Inpatient Medical Associates Inc. (Springfield, MA). Each 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 Upenkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Upenkumar Patel accept?
Health plans from Taro Health list Upenkumar 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.
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 14 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.
# Upenkumar Patel, MD · NPI 1295231140
Hospitalist physician in Lowell, Massachusetts. Individual provider, active in the CMS NPPES registry since March 31, 2018.
## Identity
- **NPI:** 1295231140 (Entity type: Individual)
- **Enumerated:** March 31, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 289467 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 295 VARNUM AVE, Lowell, MA 01854-2193
- **Phone:** (978) 937-6439
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lowell General Inpatient Specialists PLLC (NPI 1649626391, Lowell, MA); Massachusetts Acute Care Specialists PC (NPI 1306134812, Melrose, MA); Mercy Inpatient Medical Associates Inc. (NPI 1407845282, Springfield, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295231140) · Data from the CMS NPPES public registry.